MS. SERENA DENISE JOHNSON (NPI# 1720396732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720396732 |
| Entity Type | Individual |
| Full Name | MS. SERENA DENISE JOHNSON |
| Credential | LPT |
| Practice Address |
5151a Walnut Street Philadelphia PA 19139 |
| Mailing Address |
3900 Ford Rd 14a Philadelphia PA 19131-2039 |
| Practice Telephone | 6107337539 |
| Practice Fax Number | 2158788870 |
| Mailing Telephone | 6107337539 |
| Mailing Fax Number | 2158788870 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | PT006315L | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982868246 | Serena Johnson | Counselor | 250 Pleasant St, Concord, NH 03301-7539 | 2008-07-16 |
| Street Address |
5151A WALNUT STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1386878429 | Bp Pharmacy Inc | Pharmacy | 5701 Chestnut St, Philadelphia, PA 19139 | 2009-05-04 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427694223 | Oluwafemi Abodunde | Contractor | 450 Byberry Rd Apt B44, Philadelphia, PA 19116-4012 | 2019-11-27 |
| 1710452040 | Samantha R Billings | Contractor | 220 S 47th St, Philadelphia, PA 19139-4426 | 2018-10-13 |
| 1386173250 | Jacqueline Butler | Contractor | 7120 Valley Ave, Philadelphia, PA 19128-3206 | 2017-06-05 |
| 1700312998 | Terrance Cook | Contractor | 37 S Millick St, Philadelphia, PA 19139-3033 | 2017-05-07 |
| 1275072498 | Sederia Brown | Contractor | 142 E Pleasant St, Philadelphia, PA 19119-2144 | 2017-02-21 |
| 1457801201 | Amber Zeigler | Contractor | 702 N 3rd St, Pmb 770, Philadelphia, PA 19123-2904 | 2016-10-05 |
| 1245698398 | Tiffani Ellis-ingram | Contractor | 6484 Ross St, Philadelphia, PA 19119-2333 | 2016-02-03 |
| 1700257029 | Mohamed Koubassi Jabati | Contractor | 1229 Hale St, Philadelphia, PA 19111-5829 | 2015-10-13 |
| 1386044485 | Ballah A Kabbah | Contractor | 6418 Elmwood Ave, Philadelphia, PA 19142-3110 | 2014-08-26 |
| 1831495118 | Kianna Lasha Foster | Contractor | 7636 Wyndale Ave, Philadelphia, PA 19151-2707 | 2011-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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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.