MISERICORDIA UNIVERSITY
NPI 1366911620
Nurse Practitioner - Family in Dallas, PA

Active since November 16, 2018
301 LAKE ST, DALLAS, PA 18612(570) 674-6432(570) 674-3062 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2018, Nov 16, 2018 (2 updates tracked since 2018).

About Misericordia University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISERICORDIA UNIVERSITY (NPI 1366911620) is a healthcare organization registered as a family in Dallas, Pennsylvania and active in the NPI registry since November 2018. The organization lists Sandra J. Federo, Nurse Practitioner/director, as its authorized official.

NPPES Registry Identity

NPI1366911620
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMISERICORDIA UNIVERSITY
Location Address301 LAKE STDallas, PA 18612-7752
Mailing Address301 Lake StDallas, PA 18612-7752 · (570) 674-6432 · Fax (570) 674-3062
Fax(570) 674-3062
Organization SubpartYes
Authorized OfficialSandra J. FederoNurse Practitioner/director · (570) 674-6432
Enumeration DateNovember 16, 2018
Last NPPES UpdateNovember 29, 20182 updates tracked since enumeration
NPI 1366911620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
301 LAKE ST, Dallas, PA 18612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
301 LAKE ST
DALLAS, PA 18612
Early Intervention Provider Agency
301 LAKE ST
DALLAS, PA 18612
Clinic/Center (Rehabilitation)
301 LAKE ST
DALLAS, PA 18612
Student in an Organized Health Care Education/Training Program
301 LAKE ST
DALLAS, PA 18612
Occupational Therapist
301 LAKE ST
DALLAS, PA 18612
Clinic/Center (Rehabilitation)
301 LAKE ST
DALLAS, PA 18612
Physical Therapist
301 LAKE ST
DALLAS, PA 18612
Nurse Practitioner (Family)
301 LAKE ST
DALLAS, PA 18612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misericordia University's NPI number?

The NPI number for Misericordia University is 1366911620. It was assigned to this organization in the NPPES registry on November 16, 2018.

Where is Misericordia University located?

Misericordia University is located at 301 Lake St, Dallas, PA 18612. The listed phone number is (570) 674-6432.

What is Misericordia University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Misericordia University was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.