KATHLEEN COULTER CRNP NPI 1487629663

NPI Information

NPI: 1487629663
Provider Name: KATHLEEN COULTER, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
6950 GERMANTOWN AVE
GERMANTOWN HOME
PHILADELPHIA, PA
ZIP 19119
Phone: (484) 886-7109
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Kathleen Coulter, CRNP is an adult health nurse practitioner in Philadelphia, PA. Kathleen Coulter, CRNP NPI is 1487629663. 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:

6950 GERMANTOWN AVE
GERMANTOWN HOME
PHILADELPHIA, PA
ZIP 19119-120
Phone: (484) 886-7109
Fax: (215) 951-7594

The NPI 1487629663 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 5/24/2010.

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	363LG0600X	Nurse Practitioner	Gerontology	SP006851H	PENNSYLVANIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	SP006850C	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	P89434	MEDICARE UPIN
2	069804HK1	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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