PERSONAL CARE PEDIATRICS, LLC (NPI# 1912308412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912308412 |
| Entity Type | Organization |
| Organization Name | PERSONAL CARE PEDIATRICS, LLC |
| Practice Address |
925 Main St Ste 100 Pennsburg PA 18073-1631 |
| Mailing Address |
925 Main St Ste 100 Pennsburg PA 18073-1631 |
| Practice Telephone | 2155411333 |
| Practice Fax Number | 2155411311 |
| Mailing Telephone | 2155411333 |
| Mailing Fax Number | 2155411311 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | DR. DAVID KENNEDY (PHYSICIAN) |
| Authorized Official Telephone | 2155411333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP013619 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018444060004 | 05 |
| Street Address |
925 MAIN ST STE 100 |
| City | PENNSBURG |
| State | PA |
| Zip Code | 18073-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099737 | Kaitlin Borelli | Nurse Practitioner | 925 Main St, Suite 100, Pennsburg, PA 18073-1631 | 2016-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610162 | Laura Tomasso | Registered Nurse | 115 Penn St, Pennsburg, PA 18073 | 2012-08-29 |
| 1558312710 | Upper Perk Family Dental | Dentist | 2771 Geryville Pike, Pennsburg, PA 18073 | 2006-05-13 |
| 1679535686 | Stephanie Elizabeth Cleaver | Physical Therapist | 101 7th Street, Pennsburg, PA 18073 | 2006-04-05 |
| 1427578467 | Sarah Anne Heck | Occupational Therapist | 530 Macoby St, Pennsburg, PA 18073 | 2017-06-21 |
| 1619424256 | Linzy Peloso | Nurse Practitioner | 925 Main Street, #100, Pennsburg, PA 18073 | 2016-09-01 |
| 1023469608 | Next Step Foot & Ankle Center, LLC | Podiatrist | 158 Main St, Pennsburg, PA 18073 | 2016-06-25 |
| 1447631155 | Brittany Kuperavage | Family Medicine | 2793 Geryville Pike Ste 200, Pennsburg, PA 18073 | 2015-06-18 |
| 1710377288 | Amber Wunder | Behavioral Analyst | 1044 Runaway Dr, Pennsburg, PA 18073 | 2015-02-04 |
| 1265466130 | Richard A Ciccantelli | Podiatrist | 158 Main St, Pennsburg, PA 18073 | 2006-07-10 |
| 1982659603 | Richard B Bray | Dentist | 2771 Geryville Pike, Pennsburg, PA 18073 | 2006-05-23 |
| Find all providers in zip 18073 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619424256 | Linzy Peloso | Nurse Practitioner | 925 Main Street, #100, Pennsburg, PA 18073 | 2016-09-01 |
| 1386099737 | Kaitlin Borelli | Nurse Practitioner | 925 Main St, Suite 100, Pennsburg, PA 18073-1631 | 2016-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
| 1639784713 | Danzeleen Motil Mascaro | Nurse Practitioner | 503 Natalie Ln, Norristown, PA 19401-3111 | 2020-09-15 |
| 1952913527 | Lindsey Baranik | Nurse Practitioner | 711 Lawn Ave Ste 5, Sellersville, PA 18960-1583 | 2020-08-17 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1871130120 | Alexandria Gustin | Nurse Practitioner | 500 Universisity Drive, Hershey, PA 17033-0858 | 2019-12-05 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1033674247 | Priscilla Korto A Tyler | Nurse Practitioner | 2509 Grove Ln, Trevose, PA 19053-6755 | 2019-02-01 |
| 1386108629 | Alison Leigh Kelley | Nurse Practitioner | 440 E Marshall St Fl 3, West Chester, PA 19380-5414 | 2019-01-30 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| Find all providers with the same taxonomy | ||||
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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.