DREXEL UNIVERSITY (NPI# 1790203669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790203669 |
| Entity Type | Organization |
| Organization Name | DREXEL UNIVERSITY |
| Other Organization Name | DREXEL CNHP NURSE PRACTITIONER FACULTY PRACTICE |
| Practice Address |
1601 Cherry St Fl 2 Philadelphia PA 19102-1306 |
| Mailing Address |
1601 Cherry St Ste 11511 Philadelphia PA 19102-1310 |
| Practice Telephone | 2152557822 |
| Practice Fax Number | 2152557825 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | ASHLEY KUKLA (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2152557822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Drexel CNHP Nurse Practitioner Faculty Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598271207 | Drexel University | Social Worker | 1505 Race St Fl 6, Philadelphia, PA 19102-1119 | 2017-12-18 |
| 1265847560 | Drexel University | Preferred Provider Organization | 245 N 15th St # Ms 488, Philadelphia, PA 19102-1101 | 2014-06-25 |
| 1366870842 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 | 2013-10-21 |
| 1134386147 | Drexel University | Dietitian, Registered | 219 N. Broad St., 9th Floor, Philadelphia, PA 19107 | 2008-05-19 |
| 1740335603 | Drexel University | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2007-01-23 |
| 1760015283 | Drexel University | Family Medicine | 1427 Vine St Fl 2, Philadelphia, PA 19102-1031 | 2020-02-13 |
| 1659875284 | Drexel University | Internal Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2018-03-20 |
| 1184168858 | Drexel University | Case Management | 1601 Cherry St, Suite 11498, Philadelphia, PA 19102-1320 | 2016-12-14 |
| 1598134611 | Drexel University | Clinic/Center | 230 N Broad St, 18th Floor, Philadelphia, PA 19102-1121 | 2015-09-18 |
| 1710392527 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Ms 21041, Philadelphia, PA 19102-1306 | 2014-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DREXEL UNIVERSITY | 3201 Arch St Ste 420, Philadelphia, PA 19104-2755 |
| North Carolina Corporations | Drexel University | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
1601 CHERRY ST FL 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366870842 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 | 2013-10-21 |
| 1659894715 | Chelsea Amanda Schulman | Dietitian, Registered | 1601 Cherry St Fl 2, Philadelphia, PA 19102-1306 | 2017-07-20 |
| 1952822330 | Kellsey O'donnell Frank | Dietitian, Registered | 1601 Cherry St Fl 2, Philadelphia, PA 19102-1306 | 2017-07-06 |
| 1710392527 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Ms 21041, Philadelphia, PA 19102-1306 | 2014-07-01 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| 1801411855 | Betty Sophia Glauberzon | Nurse Practitioner | 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 | 2020-06-15 |
| 1356966717 | Lorraine Denise Hicks | Nurse Practitioner | 7923 Gilbert St, Philadelphia, PA 19150-2505 | 2020-06-11 |
| 1740813682 | Marina Rakitskaya | Nurse Practitioner | 9816 Bonner St, Philadelphia, PA 19115-2304 | 2020-02-19 |
| 1841755014 | Kristen M Wright | Nurse Practitioner | 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 | 2019-02-01 |
| 1649745241 | Chermal Rondell Moore | Nurse Practitioner | 1017 W Beacon St, Philadelphia, MS 39350-3218 | 2018-10-10 |
| 1588148175 | Eileen Mangabat Hummel | Nurse Practitioner | 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 | 2018-09-19 |
| 1225532344 | Stacy Lynn Brix | Nurse Practitioner | 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 | 2018-03-22 |
| 1275037087 | Esther Andreessen | Nurse Practitioner | 3457 Eden St, Philadelphia, PA 19114-3605 | 2018-03-19 |
| 1265931570 | Maia Lindsey Francis | Nurse Practitioner | 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 | 2018-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on DREXEL UNIVERSITY.
| 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.