Active NPI
Gina M Menarde, CRNP, WHNP-BC
- Women's Health Nurse Practitioner
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP022476
- Practice address
- 120 Valley Green LN Ste 620
King of Prussia, PA 19406-2080 - Phone
- (215) 887-2010
- Fax
- (215) 646-4952
- NPI assigned
- Jun 27, 2022
- Last updated
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP022476 | PA | Primary |
Addresses
Primary practice location
120 Valley Green LN Ste 620
King of Prussia, PA 19406-2080
Mailing address
120 Valley Green LN Ste 620
King of Prussia, PA 19406-2080
Phone (215) 887-2010
Other practice location 1
360 Middletown Blvd Ste 400
Langhorne, PA 19047-1863
Phone (215) 887-2010
Other practice location 2
467 Pennsylvania Ave Ste 202B
Fort Washington, PA 19034-3420
Phone (215) 887-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP022476 | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Current | Accepting new patients | |
| United Anesthesia Services PC | Past | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients | |
| Main Line Fertility Clinic PC | Past | Accepting new patients |
Locations
120 Valley Green Ln
Ste 620
King of Prussia, PA 19406
Phone (215) 887-2010
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
-
- Reproductive Endocrinology Physician
- Bryn Mawr, PA
- NPI 1932834082
-
dba THMA MG Trauma Service Langhorne
- Trauma Surgery Physician
- Langhorne, PA
- NPI 1093771271
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1932831260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 VALLEY GREEN LN STE 620",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062080",
"telephone_number": "215-887-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 VALLEY GREEN LN STE 620",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062080",
"telephone_number": "215-887-2010",
"fax_number": "215-646-4952"
}
],
"practiceLocations": [
{
"address_1": "360 Middletown Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471863",
"country_code": "US",
"telephone_number": "215-887-2010",
"fax_number": "215-646-4952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "467 Pennsylvania Ave Ste 202B",
"address_purpose": "LOCATION",
"city": "Fort Washington",
"state": "PA",
"postal_code": "190343420",
"country_code": "US",
"telephone_number": "215-887-2010",
"fax_number": "215-646-4952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENARDE",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "CRNP, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP022476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.