CASEY LAUREN SLANINABROOKS (NPI# 1639482011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639482011 |
| Entity Type | Individual |
| Full Name | CASEY LAUREN SLANINABROOKS |
| Credential | CRNP |
| Practice Address |
6404 Roosevelt Blvd Suite 1b Philadelphia PA 19149-2943 |
| Practice Telephone | 2155330762 |
| Practice Fax Number | 2155330928 |
| Mailing Telephone | 2155330762 |
| Mailing Fax Number | 2155330928 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
26NR14587700 | NJ | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN557048 | PA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP011069 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6404 ROOSEVELT BLVD SUITE 1B |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19149-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810530 | Michael Rosenbaum | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2005-08-31 |
| 1740760818 | Ki Yoon Chung | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-08-17 |
| 1124512157 | Sasha Manchanda | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-06-22 |
| 1619258969 | Holly Do Nguyen | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2011-08-31 |
| 1770806887 | The Andante Center, Inc | Clinic/Center | 6404 Roosevelt Blvd, Suite 1d, Philadelphia, PA 19149-2943 | 2010-03-03 |
| 1164750352 | Jacob Richard Orozco | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2009-11-26 |
| 1851550826 | Delligatti & Milewski Orthodontic Group, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-06-05 |
| 1023276656 | Pediatric Dental Associates Ltd | Dentist | 6404 Roosevelt Blvd, Lower Level, Philadelphia, PA 19149-2943 | 2008-05-30 |
| 1679749550 | Cichetti & Delligatti Orthodontics, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-05-01 |
| 1104097872 | Abolarin LLC | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418948 | Double Care Inc | Clinic/Center | 2900-14 Cottman Ave, Philadelphia, PA 19149 | 2019-07-16 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1851950430 | Halo Staffing Agency, LLC | Home Health | 6401 Akron St., Philadelphia, PA 19149 | 2019-06-07 |
| 1518450626 | Family First Home Healthcare LLC | In Home Supportive Care | 1405 Alcott St, Philadelphia, PA 19149 | 2018-06-13 |
| 1992106926 | Elena Semprevivo | Dentist | 2107 Cottman Avenue, Philadelphia, PA 19149 | 2014-09-09 |
| 1518366988 | Abundant Life Home Health Services | Home Health | 6632-46 Bustleton Ave, Philadelphia, PA 19149 | 2014-08-21 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| 1790115509 | Norman Huynh | Physical Therapist | 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 | 2013-11-14 |
| Find all providers in zip 19149 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1275026528 | Eileen Cawley Paynton | Nurse Practitioner | 7500 Central Ave Ste 205, Philadelphia, PA 19111-2432 | 2018-06-12 |
| 1811488091 | Lisa Jang | Nurse Practitioner | 3400 Civic Center Blvd Dept General, Philadelphia, PA 19104-5127 | 2018-05-23 |
| 1861999542 | Bashira Charles | Nurse Practitioner | 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015 | 2018-04-10 |
| 1356883938 | Laura-therese Martone | Nurse Practitioner | 501 S 26th St Unit 1, Philadelphia, PA 19146-1008 | 2016-11-14 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1396194106 | Lisa Mcfarlane | Nurse Practitioner | 6340 Wayne Ave, Philadelphia, PA 19144-3113 | 2016-06-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19149 |
Please comment or provide details below to improve the information on CASEY LAUREN SLANINABROOKS.
| 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.