JUDITH ANNE BASEDEN (NPI# 1396791612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396791612 |
| Entity Type | Individual |
| Full Name | JUDITH ANNE BASEDEN |
| Credential | CRNP |
| Practice Address |
800 Walnut St Fl 11 Philadelphia PA 19107-5176 |
| Practice Telephone | 2158292345 |
| Practice Fax Number | 2158293365 |
| Mailing Telephone | 2158292345 |
| Mailing Fax Number | 2158293365 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
UP002275G | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 WALNUT ST FL 11 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831153352 | Celeste P Durnwald | Obstetrics & Gynecology | 800 Walnut St Fl 11, Philadelphia, PA 19107-5176 | 2006-04-13 |
| 1134414048 | Jourdan Elizabeth Triebwasser | Obstetrics & Gynecology | 800 Walnut St Fl 11, Philadelphia, PA 19107 | 2011-06-20 |
| 1922399641 | Cara Dolin | Obstetrics & Gynecology | 800 Walnut St Fl 11, Philadelphia, PA 19107 | 2011-04-28 |
| 1891084737 | Christina Paidas Teefey | Obstetrics & Gynecology | 800 Walnut St Fl 11, Philadelphia, PA 19107-5176 | 2011-03-31 |
| 1053422600 | Michal A Elovitz | Obstetrics & Gynecology | 800 Walnut St Fl 11, Philadelphia, PA 19107-5176 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508360538 | Melissa Mosczczynski | Nurse Practitioner | 9815 Roosevelt Blvd Ste C, Philadelphia, PA 19114-1035 | 2018-03-23 |
| 1376817569 | Lolita Maria Vaughan | Nurse Practitioner | 9501 Roosevelt Ave., Suite 404, Philadelphia, PA 19114 | 2012-03-06 |
| 1275511255 | Constance Reich Murphy | Nurse Practitioner | 3535 Market St, Suite 100, Philadelphia, PA 19104-3309 | 2006-01-09 |
| 1316312788 | Jennifer Thompson | Nurse Practitioner | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2015-12-10 |
| 1083085252 | Kristin Roddy | Nurse Practitioner | 7996 Oxford Ave, Philadelphia, PA 19111-2241 | 2015-10-14 |
| 1265802953 | Kalia C. Cole-avery | Nurse Practitioner | 800 Walnut St, 14th Floor, Philadelphia, PA 19107-5176 | 2015-10-07 |
| 1609272970 | Ashley Robin Tran | Nurse Practitioner | 833 Chestnut St, 1st Floor, Philadelphia, PA 19107-4414 | 2014-11-13 |
| 1750790135 | Susan Troncelliti | Nurse Practitioner | 3701 Market St, Philadelphia, PA 19104-5502 | 2014-08-11 |
| 1558634956 | Adena R. Brewington | Nurse Practitioner | 3400 Spruce St, 7th Floor, Philadelphia, PA 19104-4238 | 2012-02-15 |
| 1164794269 | Ashley E Zabel | Nurse Practitioner | 833 Chestnut St, 1st Floor, Philadelphia, PA 19107-4414 | 2012-02-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on JUDITH ANNE BASEDEN.
| 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.