SHIRLEY TRABACHINO (NPI# 1760573042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760573042 |
| Entity Type | Individual |
| Full Name | SHIRLEY TRABACHINO |
| Credential | CRNP |
| Practice Address |
7600 Central Ave Phila PA 19111-2442 |
| Mailing Address |
2450 W Hunting Park Ave Phila PA 19129-1302 |
| Practice Telephone | 2157224600 |
| Practice Fax Number | 2157221370 |
| Mailing Telephone | 2157224600 |
| Mailing Fax Number | 2157221370 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
TP006799C | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7600 CENTRAL AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19111-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720258767 | Brian J Garvin | Physical Therapist | 7600 Central Ave, Phila, PA 19111-2442 | 2008-03-05 |
| 1326267790 | Stephanie M Hollister | General Acute Care Hospital | 7600 Central Ave, Phila, PA 19111-2442 | 2007-04-24 |
| 1568493666 | Houshang Vahedi | Internal Medicine | 7600 Central Ave, Phila, PA 19111-2442 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962776716 | Np Advanced Wound Care LLC | Nurse Practitioner | 1635 Croatan Pl, Phila, PA 19145-5403 | 2012-02-25 |
| 1902971260 | Jean Huck | Nurse Practitioner | 2701 Holme Ave Ste 203, Phila, PA 19152-2029 | 2006-11-22 |
| 1285926790 | Angela M Grabau | Nurse Practitioner | 132 S 10th St, 480 Main Building, Phila, PA 19107-5244 | 2011-05-03 |
| 1144401852 | Susan Kastenhuber Roethke | Nurse Practitioner | 333 Cottman Ave, Fox Chase Cancer Center, Phila, PA 19111-2497 | 2007-11-21 |
| 1891975959 | Theresa Smigo | Nurse Practitioner | 3401 N Broad St, Zone B Room 751, Phila, PA 19140-5103 | 2007-11-06 |
| 1386776813 | Kathleen F. Eme | Nurse Practitioner | 700 Spruce St, Suite 304, Phila, PA 19106-4022 | 2007-03-11 |
| 1174663991 | Carol N Marder | Nurse Practitioner | 5401 Old York Rd, Klein 300, Phila, PA 19141-3030 | 2007-02-08 |
| 1346339108 | Patricia Holderbach | Nurse Practitioner | 1 Penn Blvd, Suite 201,2nd Floor, Phila, PA 19144-1476 | 2006-10-12 |
| 1710082383 | Ann Marie Farrell | Nurse Practitioner | 3461 Civic Center Blvd, Phila, PA 19104-4302 | 2006-09-14 |
| 1396774899 | Julie M Seman | Nurse Practitioner | 3400 Spruce St, Ground Rhoads, Phila, PA 19104-4206 | 2006-06-30 |
| Find all providers in PHILA | ||||
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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.