PAULA VENICE DOCKERY


Address: 1401 S 31st St, Philadelphia, PA 19146-3506
Phone: 2157557700

PAULA VENICE DOCKERY (NPI# 1275061202) 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) 1275061202
Entity Type Individual
Full Name PAULA VENICE DOCKERY
Credential CRNP FNP-BC
Practice Address 1401 S 31st St
Philadelphia
PA 19146-3506
Mailing Address 1401 S 31st St Fl 2
Philadelphia
PA 19146-3506
Practice Telephone 2157557700
Practice Fax Number 2157553177
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2017-06-04
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP017442 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1035832590007 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
7114 Hazel Ave, Upper Darby, PA 190823602 (267) 235-9008

Office Location

Street Address 1401 S 31ST ST
City PHILADELPHIA
State PA
Zip Code 19146-3506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525877 Judy Politzer Advanced Practice Midwife 1401 S 31st St, Philadelphia, PA 19146-3506 2005-08-11
1609492834 Evan Tuan Huynh Dental Hygienist 1401 S 31st St, Philadelphia, PA 19146-3506 2020-06-23
1326686122 Theresa Testa Stewart Nurse Practitioner 1401 S 31st St, Philadelphia, PA 19146-3506 2019-12-12
1821574609 Qaiser Ahmed Dentist 1401 S 31st St, Philadelphia, PA 19146-3506 2018-07-16
1699273128 Erica M Chavis Dental Hygienist 1401 S 31st St, Philadelphia, PA 19146-3506 2018-01-30
1053819664 Manling Wang Dental Hygienist 1401 S 31st St, Philadelphia, PA 19146-3506 2018-01-29
1376057323 Olga M Lomanovitch Social Worker 1401 S 31st St, Philadelphia, PA 19146-3506 2017-11-29
1639682388 Hoang Quan Le Ngo Physician Assistant 1401 S 31st St, Philadelphia, PA 19146-3506 2017-11-15
1487182507 Bryant Wooten Dentist 1401 S 31st St, Philadelphia, PA 19146-3506 2017-06-02
1659822997 Greater Philadelphia Health Action Incorporated Pharmacy 1401 S 31st St, Philadelphia, PA 19146-3506 2016-10-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114545977 Puentes De Salvd Clinic/Center 1700 South Street, Philadelphia, PA 19146 2020-07-08
1407480155 Mutiat Ajibade Nurse Practitioner 1401 S. 31 Street, Phialdelphia, PA 19146 2020-03-02
1003453952 Bridget Smith Psychologist Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 2019-12-10
1730678012 Christina Martindale Nurse Anesthetist, Certified Registered 917 S 15th Street, Philadelphia, PA 19146 2018-05-02
1598289456 Allison Ortolano Speech-Language Pathologist 1933 Montrose St., Philadelphia, PA 19146 2017-08-01
1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1336678788 Joshua Ryan Fidler Occupational Therapist 2223 Wharton Street, Philadelphia, PA 19146 2017-06-08
1912357930 Mei Lan Natalie Lau Pharmacist 3000-02 Reed Street, Philadelphia, PA 19146 2016-06-21
1417354887 Brandy Mitchell Specialist 1608 Webster Street, Philadelphia, PA 19146 2014-12-01
1942638101 Woong Yi Pharmacist 1155 S.mole St, Philadelphia, PA 19146 2013-10-28
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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...

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19146

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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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