RACHAEL YINXIA KONG


Address: 930 Washington Ave, Philadelphia, PA 19147-3840
Phone: 2156278000

RACHAEL YINXIA KONG (NPI# 1134663131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134663131
Entity Type Individual
Full Name RACHAEL YINXIA KONG
Credential CRNP
Practice Address 930 Washington Ave
Philadelphia
PA 19147-3840
Mailing Address 1401 S 31st St
2nd Floor
Philadelphia
PA 19146-3506
Practice Telephone 2156278000
Practice Fax Number 2156279265
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2016-12-09
Last Update Date 2017-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP016937 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 930 WASHINGTON AVE
City PHILADELPHIA
State PA
Zip Code 19147-3840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415610 Binh Le Luong Nurse Practitioner 930 Washington Ave, Philadelphia, PA 19147-3840 2005-05-27
1265961551 Minyong Chen Dentist 930 Washington Ave, Philadelphia, PA 19147-3840 2017-06-08
1578006904 Ha Lai Registered Nurse 930 Washington Ave, Philadelphia, PA 19147-3840 2016-12-03
1295132983 Katherine Houng Nurse Practitioner 930 Washington Ave, Philadelphia, PA 19147-3840 2014-11-25
1316378813 Sarah Wang Cheng Nurse Practitioner 930 Washington Ave, Philadelphia, PA 19147-3840 2013-12-09
1194064246 Weixiong Chen Dentist 930 Washington Ave, Philadelphia, PA 19147-3840 2013-02-09
1700149010 Jessica Chi Pediatrics 930 Washington Ave, Philadelphia, PA 19147-3840 2012-06-21
1932410339 Qing Yang Dentist 930 Washington Ave, Philadelphia, PA 19147-3840 2010-06-30
1669708335 Wei Zhou Obstetrics & Gynecology 930 Washington Ave, Philadelphia, PA 19147-3840 2009-10-30
1962647644 Timi I Edeki Internal Medicine 930 Washington Ave, Philadelphia, PA 19147-3840 2008-12-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
1598234411 Halina Dziewolska Behavioral Analyst 535 Queen Street, Philadelphia, PA 19147 2018-11-20
1972072908 City Dental LLC Clinic/Center 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 2018-11-20
1487120218 Christopher Michael Rosado Behavioral Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1023556875 Bralow Medical Group General Practice 834 South St., Philadelphia, PA 19147 2017-02-01
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City PHILADELPHIA
Zip Code 19147

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Dataset Information

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.

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