THERESA GRACE (NPI# 1578794517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578794517 |
| Entity Type | Individual |
| Full Name | THERESA GRACE |
| Credential | GNP-BC, MSN, CWOCN |
| Practice Address |
1600 Haddon Ave Camden NJ 08103-3101 |
| Practice Telephone | 8569682573 |
| Mailing Telephone | 8569682573 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
26NN05973500 | NJ | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NN05973500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538605175 | Theresa Grace | Behavior Technician | 9305 Sunridge Dr, Riverside, CA 92508-6270 | 2017-01-06 |
| Street Address |
1600 HADDON AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399455 | Christina M Lamonica | Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-07-08 |
| 1992306781 | Eric Rayburn | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-11-06 |
| 1508476177 | Georgeanne V Stilley | Clinical Nurse Specialist | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-08-07 |
| 1871125013 | Vanessa Lynn Klemas | Specialist/Technologist, Other | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-02-05 |
| 1457991903 | Idan Waksman | Physician Assistant | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2020-01-13 |
| 1154964716 | Jaclyn Palmisano | Nurse Practitioner | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-25 |
| 1538702642 | David Shaw | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-21 |
| 1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
| 1215401120 | Lindsay Szczerbinski | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-01-14 |
| 1366919789 | Kassandre King | Nurse Anesthetist, Certified Registered | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2018-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528260 | Gina Allen | Nurse Practitioner | 1315 Roberts St, Camden, SC 29020-3737 | 2019-10-07 |
| 1366977761 | Crystal Renee Graul | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-04-24 |
| 1023407269 | Ashley Divers | Nurse Practitioner | 1344 Haile St, Camden, SC 29020-3076 | 2015-01-12 |
| 1487066445 | Cheryl A. Wilson | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2014-05-27 |
| 1790937605 | Linda Mcgrane | Nurse Practitioner | 3 Cooper Plz, Suite 314, Camden, NJ 08103-1461 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098677 | Lauren Olmstead | Nurse Practitioner | 317 George St Ste 440, New Brunswick, NJ 08901-2008 | 2020-09-17 |
| 1275151961 | Natacha Jharahy | Nurse Practitioner | 2194 Stecher Ave, Union, NJ 07083-5252 | 2020-07-08 |
| 1477178424 | Dorota Mironiuk | Nurse Practitioner | 17 Reagan Way, Kinnelon, NJ 07405-2738 | 2020-06-15 |
| 1770111320 | Adrian A Sanchez | Nurse Practitioner | 28 Springbrook Rd E, Montville, NJ 07045-9162 | 2020-03-30 |
| 1356977409 | Gayle M Pistilli | Nurse Practitioner | 271 Cindy St, Old Bridge, NJ 08857-3060 | 2020-03-20 |
| 1578193876 | Melonie D Smith | Nurse Practitioner | 39 E 39th St Apt 4p, Paterson, NJ 07514-1163 | 2020-01-25 |
| 1710529151 | Anna M Comayagua | Nurse Practitioner | 82 Crab Apple Hill Rd, Milford, NJ 08848-1803 | 2019-10-16 |
| 1740830157 | Trisha Boland | Nurse Practitioner | 133 Center St Unit B2, New Milford, NJ 07646-2653 | 2019-09-17 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1528532397 | Jill Marie Generelli | Nurse Practitioner | 972 Hwy 36, Hazlet, NJ 07730-1700 | 2019-01-15 |
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| 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.