MRS. KATHY M SAKAUTZKI (NPI# 1114912227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114912227 |
Entity Type | Individual |
Full Name | MRS. KATHY M SAKAUTZKI |
Credential | C.R.N.P. |
Practice Address |
14425 Bustleton Ave Philadelphia PA 19116-1177 |
Practice Telephone | 2154649599 |
Practice Fax Number | 2154647865 |
Mailing Telephone | 2154649599 |
Mailing Fax Number | 2154647865 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP005116C | PA | Physician Assistants & Advanced Practice Nursing Providers |
X | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP005454B | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
14425 BUSTLETON AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19116-1177 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033101910 | Olga Itkin | Chiropractor | 14425 Bustleton Ave, Philadelphia, PA 19116-1177 | 2005-08-17 |
1235294745 | Itkin Chiropractic PC | Chiropractor | 14425 Bustleton Ave, Suite 101, Philadelphia, PA 19116 | 2006-12-26 |
1013992957 | Larry Warren Cohen | Family Medicine | 14425 Bustleton Ave, Philadelphia, PA 19116-1177 | 2005-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194334466 | Ambassador Home Care Services LLC | Homemaker | 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 | 2020-07-23 |
1669919445 | Lenore Pierce Bailey | Social Worker | 15100 Dahlia Drive, Philadelphia, PA 19116 | 2017-01-31 |
1477938991 | Jessica Gabriela Dashevsky | Counselor | 467 Parlin St, Philadelphia, PA 19116 | 2015-07-27 |
1174949697 | Absolute Therapy Care LLC | Physical Therapist | 10125 Verree Rd Ste 100, Philadelphia, PA 19116 | 2014-03-07 |
1790107936 | Philmont Homecare, LLC | Home Health | 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 | 2014-01-07 |
1417381609 | Able Ambulance Inc. | Ambulance | 1017 Haldeman Ave., Philadelphia, PA 19116 | 2013-08-25 |
1821356718 | Timur Kakhramanov | Nurse Practitioner | 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 | 2012-04-27 |
1982975173 | Simon Perelshteyn | Internal Medicine | 10172 Verree Rd, Philadelphia, PA 19116 | 2012-01-19 |
1841574449 | Irene Feldman | Pharmacist | 10000 Busteloton Ave, Philadelphia, PA 19116 | 2011-10-03 |
1992095590 | Long Life Ambulance, LLC | Ambulance | 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 | 2011-04-15 |
Find all providers in zip 19116 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
1780185835 | Neva White | Nurse Practitioner | 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 | 2018-02-23 |
1790298487 | Anne Kathryn Henner | Nurse Practitioner | 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 | 2017-11-16 |
1174052997 | Cynthia Wheeler | Nurse Practitioner | 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 | 2017-06-06 |
1740716893 | Liliya Gurevich | Nurse Practitioner | 7906 Frontenac St, Philadelphia, PA 19111-2902 | 2017-05-11 |
1235589664 | Juliana Omile | Nurse Practitioner | 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 | 2016-06-16 |
1275980468 | Joji Thomas | Nurse Practitioner | 9659 Sandanne Rd, Philadelphia, PA 19115-2727 | 2016-05-18 |
1073988374 | Cristhi Wilson-brown | Nurse Practitioner | 521 W Girard Ave, Philadelphia, PA 19123-1428 | 2015-12-11 |
1932579984 | Tierney A Fisher | Nurse Practitioner | 3737 Market St Fl 10, Philadelphia, PA 19104-5545 | 2015-10-03 |
1306223813 | Anthony Yaroslav Fisun | Nurse Practitioner | 2008 President St, Philadelphia, PA 19115-2607 | 2015-05-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19116 |
Please comment or provide details below to improve the information on MRS. KATHY M SAKAUTZKI.
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.