Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Nino Kavtaradze, CRNP

Nurse Practitioner in Feasterville Trevose, PA · enumerated 2014 · practices at Practitioner LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639574841

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Registry record

Entity type Individual (Type 1)

Name Nino Kavtaradze

Credential CRNP

Sex Female

Practice address 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA, 19053

Phone (267) 574-5236

Enumeration date Oct 30, 2014

Last updated in NPPES Nov 27, 2023

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License RN632493 (PA) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License SP015632 (PA) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License SP015632 (PA) Primary

Other identifiers

Identifier	Type	State	Issuer
1032670520017	Medicaid	PA	-
SP015632	Other	PA	PENNSYLVANIA DEPARTMENT OF STATE
RN632493	Other	PA	PENNSYLVANIA DEPARTMENT OF STATE
33402683	Other	-	AMERICAN NURSES CREDENTIALING CENTER (ANCC)

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1639574841 active?

Yes, as of the latest NPPES snapshot, NPI 1639574841 is active (record last updated 2023-11-27).

How do I verify Nino Kavtaradze's NPI record?

Cross-check NPI 1639574841 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Practitioner LLC Primary Care Nurse Practitioner · Feasterville Trevose, PA NPI 1497316996

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-27.