KATELYN ALICE JESUKIEWICZ (NPI# 1093279499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093279499 |
| Entity Type | Individual |
| Full Name | KATELYN ALICE JESUKIEWICZ |
| Credential | CRNP |
| Practice Address |
2301 S Broad St Philadelphia PA 19148-3542 |
| Mailing Address |
111 S 11th St Ste 8490 Philadelphia PA 19107-4824 |
| Practice Telephone | 2159529558 |
| Mailing Telephone | 2159529558 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP019873 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124621 | Deborah A Serba | Nurse Anesthetist, Certified Registered | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2005-06-20 |
| 1215584859 | Mary Ann Heller | Nurse Practitioner | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2019-08-19 |
| 1972088292 | Lindsey Anne Wolf | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-10-02 |
| 1346732005 | Candace Cantwell-foy | Registered Nurse | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2018-05-30 |
| 1386199982 | Marisa A. Ciuppa | Nurse Anesthetist, Certified Registered | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-08-24 |
| 1871957324 | Tejal Ulhas Naik | Internal Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-04-11 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1669831996 | Jeffex, Inc. | Pharmacy | 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 | 2016-02-15 |
| 1033575352 | Methodist Associates In Healthcare, Inc. | Family Medicine | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-01-04 |
| 1386028454 | Tara Jean Levin | Dietitian, Registered | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2015-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
Please comment or provide details below to improve the information on KATELYN ALICE JESUKIEWICZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.