Individual provider Active NPI

Therese Crowley Prentice, APN

  • Nurse Practitioner
  • Abington, PA
National Provider Identifier
1962507020
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP001514C Issued in PA
Practice address
1200 Old York Rd
5 Toll
Abington, PA 19001-3720
Phone
(215) 481-4100
Fax
(215) 481-4199
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN07978900 NJ
Nurse Practitioner 363L00000X SP001514C PA Primary

Addresses

Primary practice location

1200 Old York Rd
5 Toll
Abington, PA 19001-3720

Mailing address

1200 Old York Rd
5 Toll
Abington, PA 19001-3720
Phone (215) 481-4100

Other identifiers 1

IdentifierTypeStateIssuer
0288543MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320000231 PA Practitioner - Nurse Practitioner 8921268723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Suite 5
Abington, PA 19001-3720
Phone (215) 481-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP001514CPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jan 19, 2014 Accepting new patients
Abington Memorial Hospital CurrentSince Jan 19, 2014 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1962507020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "5 TOLL",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4100",
            "fax_number": "215-481-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "5 TOLL",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4100",
            "fax_number": "215-481-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "THERESE",
        "middle_name": "CROWLEY",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN07978900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP001514C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288543",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.