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NP MEDICINE
NPI 1497316996
Nurse Practitioner - Primary Care in Feasterville Trevose, PA

Active since June 25, 2019
1200 BUSTLETON PIKE STE 16A3, FEASTERVILLE TREVOSE, PA 19053(267) 223-7738(877) 416-0367 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2020, Jul 2, 2019 (2 updates tracked since 2019).

About Np Medicine NPPES

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

NP MEDICINE (NPI 1497316996) is a healthcare organization registered as a primary care in Feasterville Trevose, Pennsylvania and active in the NPI registry since June 2019. The organization lists Nino Kavtaradze, Primary Care Provider, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1497316996
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePRACTITIONER LLC
Location Address1200 BUSTLETON PIKE STE 16A3Feasterville Trevose, PA 19053-4118
Mailing Address1200 Bustleton Pike Ste 16a3Feasterville Trevose, PA 19053-4118 · (267) 223-7738
Phone(267) 223-7738
Fax(877) 416-0367
Organization SubpartNo
Authorized OfficialNino KavtaradzePrimary Care Provider, Shareholder · (267) 223-7738
Enumeration DateJune 25, 2019
Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration
✔ NPI 1497316996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1200 BUSTLETON PIKE STE 16A3, Feasterville Trevose, PA 19053
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Other Names 1

Doing Business AsNp Medicine

Other Identifiers 1

Medicaid1037033750001PA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NINO KAVTARADZE CRNP
Nurse Practitioner
1200 BUSTLETON PIKE STE 16A3
FEASTERVILLE TREVOSE, PA 19053
Bucks County (267) 574-5236

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 Practitioner LLC's NPI number?

The NPI number for Practitioner LLC is 1497316996. It was assigned to this organization in the NPPES registry on June 25, 2019. The provider is doing business as Np Medicine.

Where is Practitioner LLC located?

Practitioner LLC is located at 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053. The listed phone number is (267) 223-7738.

What is Practitioner LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Practitioner LLC was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.