HEDY LYDIA SIEDARTA NPI 1659091437

NPI Information

NPI: 1659091437
Provider Name: HEDY LYDIA SIEDARTA
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
6232 MARKET ST
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 383-0191
Get Directions

Hedy Lydia Siedarta is a primary care nurse practitioner in Philadelphia, PA. Hedy Lydia Siedarta NPI is 1659091437. 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:

6232 MARKET ST
PHILADELPHIA, PA
ZIP 19139-922
Phone: (215) 383-0191

The NPI 1659091437 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 8/31/2022 and was last updated on 9/1/2022.

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	363L00000X	Nurse Practitioner		SP026217	PENNSYLVANIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	SP026217	PENNSYLVANIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	SP026217	PENNSYLVANIA	No
4	363LP2300X	Nurse Practitioner	Primary Care	SP026217	PENNSYLVANIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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