NICOLE CAVALIERE


Address: 111 S 11th St Ste G8490, Philadelphia, PA 19107
Phone: 2159551120

NICOLE CAVALIERE (NPI# 1881130920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881130920
Entity Type Individual
Full Name NICOLE CAVALIERE
Credential CRNP
Practice Address 111 S 11th St Ste G8490
Philadelphia
PA 19107
Mailing Address 111 S 11th St Ste G8490
Philadelphia
PA 19107-4824
Practice Telephone 2159551120
Mailing Telephone 2159551120
Mailing Fax Number 2159552420
Enumeration Date 2017-01-12
Last Update Date 2019-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
SP016922 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3509 N Broad St, Philadelphia, PA 191404105 2157078484 2157073946
900 Walnut St, Philadelphia, PA 19107 2159556161 2159235507

Office Location

Street Address 111 S 11TH ST STE G8490
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700873742 Jonathan H Weiss Anesthesiology 111 S 11th St Ste G8490, Philadelphia, PA 19107 2005-10-04
1336637206 Alexandra Drewicz Nurse Practitioner 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2018-04-26
1235636317 Ashley Renee Easterling Registered Nurse 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2018-04-06
1790206951 Supriya Nair Nurse Anesthetist, Certified Registered 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2017-06-28
1760800429 Regina Linganna Anesthesiology 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2014-03-31
1669890497 Jenna Mckinnie Hester Anesthesiology 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2014-03-29
1851738538 Ron Leong Anesthesiology 111 S 11th St Ste G8490, Philadelphia, PA 19107 2013-06-04
1710241252 Christopher Ryan Hoffman Anesthesiology 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2012-06-29
1144523283 Eutoria Lee Nurse Anesthetist, Certified Registered 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2010-12-13
1013248632 Chitra Sivasankar Anesthesiology 111 S 11th St Ste G8490, Philadelphia, PA 19107-4824 2010-01-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801496575 Albert Abbo Nurse Practitioner 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 2020-10-30
1902411721 Sean Arthur Deiter Nurse Practitioner 3619 Gypsy Ln, Philadelphia, PA 19129-1612 2020-09-09
1972117687 Christopher Brian Cox Nurse Practitioner 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 2020-09-01
1053949081 Anna Sorci Nurse Practitioner 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 2020-03-27
1629611488 Shane M Hafer Nurse Practitioner 3600 Civic Center Blvd Fl 3, Philadelphia, PA 19104-4310 2019-10-24
1184272262 Judy Linh Nurse Practitioner 901 Glenview St, Philadelphia, PA 19111-4420 2019-08-31
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1942777909 Jessica Lynn Goins Nurse Practitioner 111 S 11th St Bldg 934, Philadelphia, PA 19107-4824 2018-10-29
1891201968 Stefanie Rashti Nurse Practitioner 1015 Walnut St Ste 401, Philadelphia, PA 19107-5005 2017-12-27
1780074336 Bridget Gibson Nurse Practitioner 1522 E Susquehanna Ave, Philadelphia, PA 19125-2921 2015-02-03
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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