Active NPI
Catherine Dillon
- Pediatric Nurse Practitioner
- Phila, PA
National Provider Identifier
1982006326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP001419D
- Practice address
- 1500 Market St
Phila, PA 19102-2100 - Phone
- (215) 985-2500
- Fax
- (267) 765-2325
- NPI assigned
- Sep 17, 2014
- Last updated
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP001419D | PA | Primary |
Addresses
Primary practice location
1500 Market St
Phila, PA 19102-2100
Mailing address
231 Bickley Rd
Glenside, PA 19038-4401
Phone (215) 837-8403
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 |
|---|---|---|---|
| SP001419D | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1982006326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 BICKLEY RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190384401",
"telephone_number": "215-837-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MARKET ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191022100",
"telephone_number": "215-985-2500",
"fax_number": "267-765-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP001419D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.