Susan Barb CRNP, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP011731 Issued in PA

Legal business name

SUSAN BARB CRNP, LLC

Practice address

1401 Chester Pike
Suite B
Eddystone, PA 19022-1336

Phone

(610) 447-0609

Fax

(610) 649-4421

NPI assigned

Sep 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susan Barb, CRNP

Title

Owner

Phone

(610) 447-0609

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delco Family Wellness Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1932500436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHESTER PIKE",
            "address_2": "SUITE B",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221336",
            "telephone_number": "610-447-0609",
            "fax_number": "610-649-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHESTER PIKE",
            "address_2": "SUITE B",
            "city": "EDDYSTONE",
            "state": "PA",
            "postal_code": "190221336",
            "telephone_number": "610-447-0609",
            "fax_number": "610-649-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BARB CRNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "BARB",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-447-0609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103030178-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delco Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dale T. Ralston, P.A.
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• Douglas Smith, PHARMD
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• Alan R. Taylor, PA-C
• Nadira Taylor
• Aleida Thorogood
• Vision on the Move

• All providers in Eddystone, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.