Nikita Latasha Lawrence (NPI# 1861964090, PAC ID# 4587904933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861964090 |
| PAC ID by PECOS | 4587904933 |
| Professional Enrollment ID | I20190321000010 |
| Full Name | Nikita Latasha Lawrence |
| Organization Legal Name | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Address |
1200 Callowhill St Suite 101 Philadelphia PA 19123-3658 |
| Phone Number | 2158258220 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850307406 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 | 2158258220 | PUBLIC HEALTH MANAGEMENT CORPORATION |
| 412 W Lehigh Ave, Congreso Health Center, Philadelphia, PA 19133-3148 | 2157638870 | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Organization Legal Name | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elliot Goodenough | Family Medicine | Public Health Management Corporation | 71 W Wissachickon Ave, Phmc At Carson Valley, Flourtown, PA 19031 |
| Anamaria De Nardo | Nurse Practitioner | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Gerald J Durivage | Nurse Practitioner | Public Health Management Corporation | 125 S 9th St, Mary Howard Health Center, Philadelphia, PA 19107-5125 |
| Shawn D Jackson | Nurse Practitioner | Public Health Management Corporation | 412 W Lehigh Ave, Congreso Health Center, Philadelphia, PA 19133-3148 |
| Kathleen E Boczar | Nurse Practitioner | Public Health Management Corporation | 1900 N 9th St, 104 Phmc Health Connection, Philadelphia, PA 19122-2028 |
| Joan E Lajoie | Nurse Practitioner | Public Health Management Corporation | 5675 N Front St, Rising Sun Health Center, Philadelphia, PA 19120-2719 |
| Sumanya Narra | Physician Assistant | Public Health Management Corporation | 5675 N Front St, Rising Sun Health Center, Philadelphia, PA 19120-2719 |
| Kathleen Graham | Nurse Practitioner | Public Health Management Corporation | 5675 N Front St, Rising Sun Health Center, Philadelphia, PA 19120-2719 |
| Andrea Vettori | Nurse Practitioner | Public Health Management Corporation | 125 S 9th St, Mary Howard Health Center, Philadelphia, PA 19107-5125 |
| Katherine J Huynh | Physician Assistant | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Street Address |
1200 CALLOWHILL ST SUITE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19123-3658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anamaria De Nardo | Nurse Practitioner | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Katherine J Huynh | Physician Assistant | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Sanul J Corrielus | Internal Medicine | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 | |
| Benjamin Frank Cocchiaro | General Practice | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Oluwafunmike Doyin Ojewoye | Family Medicine | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Noel Boquiren Ramirez | Clinical Social Worker | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Rachel Fox | Physician Assistant | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Erin Obrien Garcia | Clinical Social Worker | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Elizabeth Mckey | Physician Assistant | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosilyn T Smith | Psychiatry | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Howard N Brooks | Family Medicine | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| James J Nocks | Psychiatry | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Philadelphia, PA 19123-1013 |
| Sunny F Ekwunife | Family Practice | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Edith Senyumba | General Practice | Centralized Comprehensive Human Services, Inc. | 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013 |
| Arun K Mohanty | Internal Medicine | 445 W Girard Ave, Philadelphia, PA 19123-1427 | |
| Nasira Y Majid | Family Medicine | 445 W Girard Ave, Philadelphia, PA 19123-1427 | |
| Manoj George Oommen | General Practice | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Margaret Oduro | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Christine Supplee | Nurse Practitioner | Excel Medical Center | 521 W Girard Ave, Philadelphia, PA 19123-1428 |
| Find all physicians in zip 19123 | |||
| City | PHILADELPHIA |
| Zip Code | 19123 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHILADELPHIA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.