Katherine Mardirossian, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP037420 Issued in PA

Practice address

4829 E Street Rd Ste 100
Trevose, PA 19053-6647

Phone

(215) 364-5800

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1992600878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD STE 100",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E STREET RD STE 100",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536647",
            "telephone_number": "215-364-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIROSSIAN",
        "first_name": "KATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP037420",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP037420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie H Maccorkle, RN
• Christopher S Macumber, PHARMD
• Holly Mahal, BSC
• Deborah Ann Maiden, RN
• Malvern Institute
• Margiotti & Kroll Pediatrics, P.C.
• Gerard Anthony Margiotti Jr.
• Gerard Anthony Margiotti III, D.O.
• Mark a Miller and Associates Inc (Mark A Miller)
• Mary Marquis

• Pediatric Nurse Practitioner in Trevose, PA
• Providers in Trevose, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.