Individual provider Active NPI

Stephanie L Goldthorp, CRNP

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1962648139
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010091 Issued in PA
Practice address
310 Farm LN
Doylestown, PA 18901-4732
Phone
(215) 348-3990
Fax
(215) 348-7705
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010091 PA Primary

Addresses

Primary practice location

310 Farm LN
Doylestown, PA 18901-4732

Mailing address

310 Farm LN
Doylestown, PA 18901-4732
Phone (215) 348-3990

Other names 1

  • Stephanie L Iwaskiw Former name

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
I20090713000397 PA Practitioner - Nurse Practitioner 6507918117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Services, PC CurrentSince Jun 1, 2017 Accepting new patients

Locations

800 W State St
Ste 102
Doylestown, PA 18901
Phone (215) 340-1700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1962648139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FARM LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FARM LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHORP",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "IWASKIW",
            "middle_name": "L",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.