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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP017442 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1035832590007 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
7114 Hazel Ave, Upper Darby, PA 190823602 | (267) 235-9008 |
Street Address |
1401 S 31ST ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19146-3506 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19146 |
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 | 19146 |
Please comment or provide details below to improve the information on PAULA VENICE DOCKERY.
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.