JENNIFER DESMOND (NPI# 1639610884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610884 |
| Entity Type | Individual |
| Full Name | JENNIFER DESMOND |
| Practice Address |
112 N Broad St Philadelphia PA 19102-1512 |
| Practice Telephone | 2155680860 |
| Mailing Telephone | 2155680860 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932692019 | Jennifer Desmond | Specialist | 750 Hicksville Rd, Seaford, NY 11783-1328 | 2018-06-12 |
| 1366963795 | Jennifer Marie Desmond | Nurse Practitioner | 7227 Fannin St Ste 103, Houston, TX 77030 | 2017-07-06 |
| 1851480305 | Jennifer S Desmond | Nurse Practitioner | 15 Medical Center Loop, Vinalhaven, ME 04863 | 2006-10-12 |
| Street Address |
112 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619088788 | John F. Kennedy Community Mh/mr Center | Social Worker | 112 N Broad St, Philadelphia, PA 19102-1510 | 2006-08-31 |
| 1851948848 | Annette Kennedy | Licensed Practical Nurse | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1083261028 | Kelly Courtney | Case Manager/Care Coordinator | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1093362097 | Doven Brezner | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1891342804 | Anna Jackson | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1881241867 | Jasmine Barnes | Case Manager/Care Coordinator | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1366099343 | Emma Ledden | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1801443890 | Jasmine Richardson | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1831746833 | Sean Terence Smith | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| 1962059972 | Marybeth Goldberg | Counselor | 112 N Broad St, Philadelphia, PA 19102-1512 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1336783943 | Jessica Elease Elam | Peer Specialist | 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 | 2019-11-06 |
| 1932562790 | Maurice Peay | Peer Specialist | 2243 Simon St, Philadelphia, PA 19137-1311 | 2016-03-30 |
| 1689236739 | Jason Williams | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1023670171 | Virginia Vitella | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1225690373 | Jose Deleon Deleon | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1134640014 | Sherrie Crane | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-06-30 |
| 1851832000 | Warren Shuler | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1295276434 | James Gaither | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1194266346 | Lolita Rogers | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.