Active NPI
Robyn Elizabeth Neiderer, CRNP
- Adult Health Nurse Practitioner
- Collegeville, PA
National Provider Identifier
1982005948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP009604
- Practice address
- 838 Karlyn LN
Collegeville, PA 19426-4142 - Phone
- (610) 489-4757
- NPI assigned
- Sep 9, 2014
- Last updated
- Sep 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP009604 | PA | Primary |
| Registered Nurse | 163W00000X | RN357468L | PA |
Addresses
Primary practice location
838 Karlyn LN
Collegeville, PA 19426-4142
Mailing address
838 Karlyn LN
Collegeville, PA 19426-4142
Phone (610) 489-4757
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 |
|---|---|---|---|
| RN357468L | PA | MD | Registered Nurse |
| SP009604 | PA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1982005948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 KARLYN LN",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194264142",
"telephone_number": "610-489-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 KARLYN LN",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194264142",
"telephone_number": "610-489-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIDERER",
"first_name": "ROBYN",
"middle_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP009604",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN357468L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.