DR. BASHIRA CHARLES (NPI# 1861999542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861999542 |
| Entity Type | Individual |
| Full Name | DR. BASHIRA CHARLES |
| Credential | PHD, RN, CRNP |
| Practice Address |
440 North Broad Street Student Health Services Philadelphia PA 10130-4015 |
| Mailing Address |
738 Landis St Philadelphia PA 19124-3011 |
| Practice Telephone | 2154005704 |
| Practice Fax Number | 2154004173 |
| Mailing Telephone | 2152250325 |
| Mailing Fax Number | 2154004173 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP008021 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 738 Landis St, Philadelphia, PA 191243011 | 2152250325 | 2154004173 |
| Street Address |
440 NORTH BROAD STREET STUDENT HEALTH SERVICES |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 10130-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942007 | Mpath Assistive Care LLC. | Homemaker | 243 E Walnut Park Dr, Philadelphia, PA 19120-1038 | 2020-11-07 |
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1679174585 | Reputable Solutions Homecare LLC | Home Health | 1005 E Price St, Philadelphia, PA 19138-1806 | 2020-11-06 |
| 1205437233 | Joseph O Ampong | Registered Nurse | 1037 Magee Ave, Philadelphia, PA 19111-4815 | 2020-11-05 |
| 1649871658 | Yawei Song | Social Worker | 1101 Market St Ste 21000, Philadelphia, PA 19107-2934 | 2020-11-05 |
| 1962003160 | Hearts That Matter Most,llc | Clinic/Center | 1515 E Wadsworth Ave, Philadelphia, PA 19150-1620 | 2020-11-04 |
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649799 | Joined Hands Homecare LLC | Home Health | 3728 Lankenau Rd, Philadelphia, PA 19131-2817 | 2020-11-03 |
| 1225639594 | Williamina Lebaga | Home Health Aide | 4032 Markland St, Philadelphia, PA 19124-5330 | 2020-11-03 |
| Find all providers in PHILADELPHIA | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1275026528 | Eileen Cawley Paynton | Nurse Practitioner | 7500 Central Ave Ste 205, Philadelphia, PA 19111-2432 | 2018-06-12 |
| 1811488091 | Lisa Jang | Nurse Practitioner | 3400 Civic Center Blvd Dept General, Philadelphia, PA 19104-5127 | 2018-05-23 |
| 1356883938 | Laura-therese Martone | Nurse Practitioner | 501 S 26th St Unit 1, Philadelphia, PA 19146-1008 | 2016-11-14 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1396194106 | Lisa Mcfarlane | Nurse Practitioner | 6340 Wayne Ave, Philadelphia, PA 19144-3113 | 2016-06-13 |
| 1659747863 | La Salle Academy | Nurse Practitioner | 1434 N 2nd St, Philadelphia, PA 19122-3802 | 2015-08-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 10130 |
Please comment or provide details below to improve the information on DR. BASHIRA CHARLES.
| 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.