REDET FISEHA (NPI# 1891287009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891287009 |
| Entity Type | Individual |
| Full Name | REDET FISEHA |
| Practice Address |
1801 S 22nd St Philadelphia PA 19145-1940 |
| Mailing Address |
551 W Lancaster Ave Haverford PA 19041-1419 |
| Practice Telephone | 2674757808 |
| Mailing Telephone | 2674757808 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NO LICENSE | 123456789 | 01 |
| Street Address |
1801 S 22ND ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841345 | Maureen Marie Mctamney | Social Worker | 3449 N Mascher St, Philadelphia, PA 19140-4621 | 2020-08-12 |
| 1386125730 | Michelle L Marchand | Social Worker | 7701 Lindbergh Blvd Apt 1201, Philadelphia, PA 19153-2117 | 2018-08-23 |
| 1194117408 | Alfred Jardiah | Social Worker | 6418 Chelwynde Ave, Philadelphia, PA 19142-3017 | 2015-02-23 |
| 1205239449 | Michael Strzelecki | Social Worker | 6420 Tulip St, Philadelphia, PA 19135-3325 | 2014-10-02 |
| 1649882150 | Todd Milhollen | Social Worker | 5000 Oxford Ave, Philadelphia, PA 19124-2699 | 2020-08-18 |
| 1124646179 | Larnette Davis(jones) | Social Worker | 4224 N Front St, Philadelphia, PA 19140-2714 | 2020-07-07 |
| 1780837179 | Katherine Amanda Sachs | Social Worker | 100 W School House Ln, Philadelphia, PA 19144-3404 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171635 | Baron Jackson Jr. | Social Worker | 84 W Frederick St Apt 3, Millersville, PA 17551-1945 | 2020-07-13 |
| 1811534365 | Kendra Tate | Social Worker | 5540 Edsel St, Harrisburg, PA 17109-5658 | 2019-12-03 |
| 1336785104 | Channel Lowery | Social Worker | 1 South George Street, Millersville, PA 17551-1340 | 2019-11-26 |
| 1992364111 | Jessica Ann Moyer | Social Worker | 362 Churchill Rd Ste 120, Pittsburgh, PA 15235-5307 | 2019-06-11 |
| 1578026191 | Centerville Clinics | Social Worker | Peters Township High School, 264 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1306309927 | Centerville Clinics Inc | Social Worker | Bower Hill Elementary School, 424 Bower Hill Road, Venetia, PA 15367 | 2019-04-10 |
| 1700349321 | Centerville Clinics Inc | Social Worker | Peters Township Middle School, 626 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1811450448 | Centerville Clinics Inc | Social Worker | Pleasant Valley Elementary School, 250 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1871079566 | Centerville Clinics Inc | Social Worker | California High School, 11 Trojan Way, Coal Center, PA 15423-1059 | 2018-07-16 |
| 1518443209 | Centerville Clinics Inc | Social Worker | West Greene Elementary, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on REDET FISEHA.
| 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.