Practitioner LLC
NPI 1497316996 · Primary Care Nurse Practitioner · Feasterville Trevose, PA
Practitioner LLC is a Primary Care Nurse Practitioner organization in Feasterville Trevose, PA (NPI 1497316996).
Provider details
- NPI number
- 1497316996
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nino Kavtaradze, Primary Care Provider, Shareholder(267) 223-7738
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- NP Medicine
- Doing business as
- NP Medicine
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Frequently asked questions
- What is Practitioner LLC's NPI number?
- Practitioner LLC's National Provider Identifier (NPI) is 1497316996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Practitioner LLC?
- Practitioner LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Practitioner LLC located?
- Practitioner LLC's practice location on file with NPPES is 1200 Bustleton Pike Ste 16a3, Feasterville Trevose, PA 19053-4118.
- What is Practitioner LLC's phone number?
- The practice phone number listed in the NPPES registry for Practitioner LLC is (267) 223-7738.
- Who is the authorized official for Practitioner LLC?
- The authorized official listed on Practitioner LLC's NPPES record is Nino Kavtaradze, Primary Care Provider, Shareholder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Practitioner LLC's NPI active?
- Yes — Practitioner LLC's NPI (1497316996) is active in the NPPES registry as of the last update on 2020-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.