MRS. JENNIFER ANNE ERICKSON (NPI# 1992856413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992856413 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ANNE ERICKSON |
| Other Name | MISS JENNIFER ANNE SMITH |
| Credential | N.P. |
| Practice Address |
7602 Central Ave Suite 101 Philadelphia PA 19111-2443 |
| Mailing Address |
2450 W Hunting Park Ave 2nd Floor Philadelphia PA 19129-1302 |
| Practice Telephone | 2159692900 |
| Practice Fax Number | 2159691856 |
| Mailing Telephone | 2159269022 |
| Mailing Fax Number | 2152268286 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP007259 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROVIDER TYPE 57 ID NUMBE | 07791408 | 01 |
| PA | PENNSYLVANIA BLUESHIELD | SM1374026 | 01 |
| PA | RAILROAD MEDICARE # | 500025007 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316490923 | Jennifer Erickson | Occupational Therapist | 18712 Windy Knoll Dr, Yorba Linda, CA 92886-4229 | 2016-07-31 |
| 1497101620 | Jennifer Erickson | Counselor | 10015 W Broad St, Glen Allen, VA 23060-6406 | 2016-05-06 |
| 1275541526 | Jennifer Lynn Erickson | Chiropractor | 9 Belfair Point Dr, Bluffton, SC 29910-4725 | 2006-08-03 |
| 1699713958 | Jennifer Erickson | Social Worker | 4699 Huntwicke Dr, Hilliard, OH 43026-7950 | 2006-06-02 |
| 1619523396 | Jennifer Megann Erickson | Speech-Language Pathologist | 312 S West St, Cambridge, IL 61238-1430 | 2019-08-17 |
| 1871078881 | Jennifer Erickson | Behavioral Analyst | 1105 W Russell St, Sioux Falls, SD 57104-1322 | 2018-09-26 |
| 1487172854 | Jennifer Lynn Erickson | Speech-Language Pathologist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2017-09-06 |
| 1457804536 | Jennifer Erickson | Occupational Therapy Assistant | 9370 Olde 8 Rd, Northfield, OH 44067-2046 | 2016-07-26 |
| 1346650900 | Jennifer Erickson | Speech-Language Pathologist | 1772 Steiger Lake Ln, Victoria, MN 55386-7723 | 2014-05-05 |
| 1962825745 | Jennifer Leigh Erickson | Physician Assistant | 3573 Hillsborough Rd, Durham, NC 27705-9614 | 2014-01-29 |
| Street Address |
7602 CENTRAL AVE SUITE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093124307 | Temple Physicians Inc | Family Medicine | 7602 Central Ave, Suite 101, Philadelphia, PA 19111-2443 | 2014-08-12 |
| 1114130887 | Allison Elizabeth Keenan | Internal Medicine | 7602 Central Ave, Stapeley Bldg Suite 101, Philadelphia, PA 19111 | 2007-05-08 |
| 1235268335 | Temple Physician Services Inc. | Obstetrics & Gynecology | 7602 Central Ave, Suite 201, Front, Philadelphia, PA 19111-2443 | 2007-03-05 |
| 1245381524 | Temple Physicians Inc. | Obstetrics & Gynecology | 7602 Central Ave, Suite 201, Philadelphia, PA 19111-2443 | 2007-01-15 |
| 1073664249 | Temple Physicians Inc. | Obstetrics & Gynecology | 7602 Central Ave, Suite 201, Philadelphia, PA 19111-2443 | 2007-01-15 |
| 1497776140 | Temple Neurology | Psychiatry & Neurology | 7602 Central Ave, Ste 203, Philadelphia, PA 19111-2443 | 2006-07-21 |
| 1093783409 | Neil L Isdaner | Specialist | 7602 Central Ave, Suite 103, Philadelphia, PA 19111-2443 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on MRS. JENNIFER ANNE ERICKSON.
| 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.