Individual provider Active NPI

Gina M Menarde, CRNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1932831260
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP022476 Issued in PA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP022476PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Jan 22, 2023 Accepting new patients
United Anesthesia Services PC PastSince Jul 1, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group PastSince Jan 22, 2023 Accepting new patients
Main Line Fertility Clinic PC PastSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.