CHANEL L PEREZ (NPI# 1720562622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720562622 |
| Entity Type | Individual |
| Full Name | CHANEL L PEREZ |
| Credential | CRNP |
| Practice Address |
110 S 17th St Harrisburg PA 17104-1123 |
| Practice Telephone | 7172329971 |
| Practice Fax Number | 7179203039 |
| Mailing Telephone | 7172329971 |
| Mailing Fax Number | 7179203039 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | SP019258 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
SP019258 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
SP019258 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PENDING | 05 |
| Street Address |
110 S 17TH ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537722 | Micheal N Pallone | Pediatrics | 110 S 17th St, Harrisburg, PA 17104-1123 | 2005-06-10 |
| 1972115681 | Tatyana Jones | Case Manager/Care Coordinator | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-24 |
| 1700498425 | Samantha Pack | Case Manager/Care Coordinator | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-24 |
| 1487266110 | Ramon Valle | Case Manager/Care Coordinator | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-24 |
| 1861004590 | Adlih Leon | Case Manager/Care Coordinator | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-24 |
| 1932711645 | Angela Blair | Case Manager/Care Coordinator | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-24 |
| 1710599428 | Michele Jeszenka | Case Manager/Care Coordinator | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-24 |
| 1174133607 | Susan Schnaars | Registered Nurse | 110 S 17th St, Harrisburg, PA 17104-1123 | 2020-08-10 |
| 1689148595 | Basma S Mekhaeil | Dental Hygienist | 110 S 17th St, Harrisburg, PA 17104-1123 | 2019-01-14 |
| 1497236350 | Julia Maria Lara | Nurse Practitioner | 110 S 17th St, Harrisburg, PA 17104-1123 | 2018-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023408663 | Sarah Beth Curtis | Nurse Practitioner | 121 N Nyes Rd, Suite C, Harrisburg, PA 17112-3247 | 2015-02-04 |
| 1437439817 | Taasha N Guillemette | Nurse Practitioner | 100 S 2nd St Ste 4a, Harrisburg, PA 17101-2542 | 2011-08-17 |
| 1104038645 | Deborah Ashton-parsons | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2007-05-04 |
| 1467592907 | Deborah Davis | Nurse Practitioner | 117 E Clark St, Harrisburg, IL 62946-2702 | 2007-02-07 |
| 1730144585 | Wanda Kay Linebarger | Nurse Practitioner | 119 N Main St, Harrisburg, AR 72432-1929 | 2006-04-17 |
| 1922070580 | Margaret F Hummel | Nurse Practitioner | 4300 Londonderry Rd, Suite 202, Harrisburg, PA 17109-5317 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770803 | Mwasnoh L Jebboe | Nurse Practitioner | 7740 Lucretia Mott Way Apt A, Elkins Park, PA 19027-1041 | 2020-11-04 |
| 1588284517 | Crystal Lee Lash | Nurse Practitioner | 9002 Knoll St, Allison Park, PA 15101-2725 | 2020-04-20 |
| 1770110264 | Kirsten Marie Bickert | Nurse Practitioner | 828 Creek Rd, Walnutport, PA 18088-9712 | 2020-03-24 |
| 1316588585 | Jaimie Sholinsky | Nurse Practitioner | 5401 Old York Rd Bldg Floor3, Philadelphia, PA 19141-3030 | 2019-09-30 |
| 1629531645 | Kathryn Jo Duray | Nurse Practitioner | 1450 Scalp Ave Ste 3b, Johnstown, PA 15904-3321 | 2019-04-08 |
| 1366900490 | Leigh Ferguson | Nurse Practitioner | 210 S 25th St Unit 1402, Philadelphia, PA 19103-5886 | 2019-03-07 |
| 1497220131 | Margaret Kathleen Halloran | Nurse Practitioner | 1501 Lansdowne Ave Mob, 1st Floor, Darby, PA 19023 | 2018-10-09 |
| 1073003760 | Enjoli Rogers | Nurse Practitioner | 495 Thomas Jones Way Ste 210, Exton, PA 19341-2553 | 2018-05-17 |
| 1992215693 | Luz Anuri Drummond | Nurse Practitioner | 834 Eaton Ave, Bethlehem, PA 18018-1832 | 2017-10-07 |
| 1306356498 | Donna Michelle Depalmo-wilson | Nurse Practitioner | 700 Spruce St Fl 2, Philadelphia, PA 19106-4022 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
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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.