JESSICA DECASTRO


Address: 3401 Civic Center Blvd, Philadelphia, PA 19104-4319
Phone: 2155901000

JESSICA DECASTRO (NPI# 1235775404) 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) 1235775404
Entity Type Individual
Full Name JESSICA DECASTRO
Credential AC-PNP
Practice Address 3401 Civic Center Blvd
Philadelphia
PA 19104-4319
Mailing Address 30 Cameron Cir
Laurel Springs
NJ 08021-4861
Practice Telephone 2155901000
Mailing Telephone 8565712279
Enumeration Date 2019-11-22
Last Update Date 2019-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
RN683320 PA Nursing Service Providers

Office Location

Street Address 3401 CIVIC CENTER BLVD
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1932700259 Rukhsar Karim Machiwalla Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-11-03
1346840519 Vanessa Leigh Jones Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-27
1275131849 Kelsey Ann Maher Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-15
1437756020 Jennifer-rose Eccles Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-06
1891309787 Morgan Mcmanus Genetic Counselor, MS 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-08
1891309456 Abigail G Stefanides Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-01
1124631247 Abrar Khaled Alabdulhadi Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-28
1003427014 Terrence Caldwell Jr. Pharmacist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-13
1760093298 Paige Emily Naschke Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1508008723 Bonnie K Choi Registered Nurse 3500 Civic Center Boulevard, 5th Floor, Philadelphia, PA 19104 2009-04-02
1558422550 Ivy Fenton Kuhn Registered Nurse The Children's Hospital of Philadelphia-arc, 3rd Floor Wood 34th & Civic Center Blvd, Philadelphia, PA 19104 2006-12-13
1932139680 Kristine Lydia Biggie Registered Nurse Chop, 34th Street and Civic Center Blvd., Trauma Program, Room 1020, Philadelphia, PA 19104-4399 2006-07-04
1558316661 Marianne Buzby Registered Nurse 34th St. & Civic Ctr Blvd, The Childrens Hosp. of Phila, Division of Endocrinology, 11nw, Suite 30, Philadelphia, PA 19104 2006-05-24
1255386728 Barbara T. Jansma Registered Nurse Children's Hospital of Philadelphia, 5th Flr Wood Bldg, 34th St & Civic Center Blvd, Philadelphia, PA 19104 2006-05-23
1932187549 Geraldine Mary O'hare Registered Nurse 225 S Cobbs Creek Pkwy, Philadelphia, PA 19139-3723 2006-01-04
1306836572 Anne Deleo Registered Nurse 34th St & Civic Center Blvd, Children's Hospital of Philadelphia, 1st Floor Wood Bld, Philadelphia, PA 19104 2005-10-27
1649260175 Betsey K Kim Registered Nurse 34th Street & Civic Center Blvd, Philadelphia, PA 19104 2005-10-26
1982693446 De'shon Toner Registered Nurse 34th and Civic Center Boulevard, Philadelphia, PA 19104 2005-10-18
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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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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