Active NPI
Katelyn Dane, PHYSICIAN ASSISTANT
- Pediatrics Physician
- Allentown, PA
National Provider Identifier
1982234035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OA005169
- Practice address
- 1517 Pond Rd
Allentown, PA 18104-2253 - Phone
- (610) 395-4444
- NPI assigned
- Jan 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OA005169 | PA | Primary |
Addresses
Primary practice location
1517 Pond Rd
Allentown, PA 18104-2253
Mailing address
2123 Mill Valley LN
Quakertown, PA 18951-2194
Phone (267) 475-3879
Other practice location 1
2 Penn Blvd Ste 103
Philadelphia, PA 19144-1402
Phone (267) 475-3879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OA005169 | Other | PA | LICENSE NUMBER |
Other names 1
- Katelyn Weeber
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 |
|---|---|---|---|
| OA005169 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Crest Pediatrics | Single Specialty | Current | Accepting new patients |
Locations
1517 Pond Rd
Allentown, PA 18104
Phone (610) 395-4444
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.
-
- Pediatric Adolescent Medicine Physician
- Allentown, PA
- NPI 1275585762
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1982234035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 MILL VALLEY LN",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189512194",
"telephone_number": "267-475-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 POND RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042253",
"telephone_number": "610-395-4444"
}
],
"practiceLocations": [
{
"address_1": "2 Penn Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191441402",
"country_code": "US",
"telephone_number": "267-475-3879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANE",
"first_name": "KATELYN",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "OA005169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "OA005169",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "WEEBER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.