Individual provider Active NPI

Kristina Terzakis, CRNP

  • Pediatrics Physician
  • Langhorne, PA
National Provider Identifier
1962150516
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
SP025481 Issued in PA
Practice address
404 Middletown Blvd Ste 306
Langhorne, PA 19047-1897
Phone
(215) 269-3330
Fax
(215) 269-3355
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X SP025481 PA Primary

Addresses

Primary practice location

404 Middletown Blvd Ste 306
Langhorne, PA 19047-1897

Mailing address

404 Middletown Blvd Ste 306
Langhorne, PA 19047-1897
Phone (215) 269-3330

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP025481PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates of New Jersey PC Pediatrics Past Accepting new patients
We Care Pediatrics, P.C. Pediatrics PastSince Mar 20, 2022 Accepting new patients

Organizations & group practices 2

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": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1962150516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MIDDLETOWN BLVD STE 306",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471897",
            "telephone_number": "215-269-3330",
            "fax_number": "215-269-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MIDDLETOWN BLVD STE 306",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471897",
            "telephone_number": "215-269-3330",
            "fax_number": "215-269-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERZAKIS",
        "first_name": "KRISTINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "SP025481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.