REGINA KELLY-HARTSHORNE NP NPI 1306949250

NPI Information

NPI: 1306949250
Provider Name: REGINA KELLY-HARTSHORNE, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4201 HENRY AVE
PHILADELPHIA, PA
ZIP 19144
Phone: (215) 951-2986
Get Directions

Regina Kelly-hartshorne, NP is a pediatrics nurse practitioner in Philadelphia, PA. Regina Kelly-hartshorne, NP NPI is 1306949250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4201 HENRY AVE
PHILADELPHIA, PA
ZIP 19144-409
Phone: (215) 951-2986
Fax: (215) 951-6867

The enumeration date for this NPI number is 9/6/2006 and was last updated on 11/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	26NO/NN09043800	NEW JERSEY	No
2	363LP0200X	Nurse Practitioner	Pediatrics	SP016207	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6831109	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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