CHRISLINE NICOLAS (NPI# 1013441906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013441906 |
| Entity Type | Individual |
| Full Name | CHRISLINE NICOLAS |
| Credential | CRNP |
| Practice Address |
7101 Old York Rd Philadelphia PA 19126 |
| Mailing Address |
430 Exton Square Pkwy Unit 1417 Exton PA 19341-5047 |
| Practice Telephone | 6105841000 |
| Mailing Telephone | 4842747585 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP017271 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7101 OLD YORK RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207141 | Cheltenham York Road Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2006-08-27 |
| 1639613136 | York Operating, LLC | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2016-12-19 |
| 1275911307 | Suja Abraham | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2015-05-08 |
| 1801164017 | Charron Smith-marsh | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2011-12-02 |
| 1588956221 | Cheltenham Nursing and Rehabilitation Center Pa Lp | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2011-05-13 |
| 1457585135 | Cheltenham York, LLC | Skilled Nursing Facility | 7101 Old York Rd, Philadelphia, PA 19126-2114 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917975 | Mildred Kenney | Social Worker | 1333 68th St, Philadelphia, PA 19126 | 2020-06-24 |
| 1639706823 | Southern Comfort Living | In Home Supportive Care | 6641 North Broad Street, Philadelphia, PA 19126 | 2020-03-26 |
| 1043759905 | Dawneisha Spratley | Community/Behavioral Health | 6726 N 18th St, Philadelphia, PA 19126 | 2017-02-13 |
| 1942751417 | Oaklane Pharmacy 1 LLC | Pharmacy | 6724 Old York Rd., Philadelphia, PA 19126 | 2016-10-20 |
| 1649728262 | Donna Chan | Pharmacist | 6744 N. 5th Street, Philadelphia, PA 19126 | 2016-09-12 |
| 1871976381 | Dena S Harris | Counselor | 7305 N 18th St, Phila, PA 19126 | 2015-07-01 |
| 1104128677 | Mental Health Partnerships | Community Based Residential Treatment Facility, Mental Illness | 1305 Oak Lane Avenue, Philadelphia, PA 19126 | 2010-12-03 |
| 1972665826 | Alfonso Clark | Dentist | 1344 66th Ave, Phila, PA 19126 | 2006-12-15 |
| 1215326541 | Erika Childs | Counselor | 6931 N 19th St, Philadelphia, PA 19126-1506 | 2015-01-09 |
| 1255959037 | Mustafa Miles | Home Health | 1815 72nd Ave, Philadelphia, PA 19126-1512 | 2020-07-08 |
| Find all providers in zip 19126 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619642 | Michelle Marie Platzer | Nurse Practitioner | 1238 N Mascher St, Philadelphia, PA 19122-4617 | 2020-08-14 |
| 1801411855 | Betty Sophia Glauberzon | Nurse Practitioner | 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 | 2020-06-15 |
| 1356966717 | Lorraine Denise Hicks | Nurse Practitioner | 7923 Gilbert St, Philadelphia, PA 19150-2505 | 2020-06-11 |
| 1740813682 | Marina Rakitskaya | Nurse Practitioner | 9816 Bonner St, Philadelphia, PA 19115-2304 | 2020-02-19 |
| 1841755014 | Kristen M Wright | Nurse Practitioner | 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 | 2019-02-01 |
| 1649745241 | Chermal Rondell Moore | Nurse Practitioner | 1017 W Beacon St, Philadelphia, MS 39350-3218 | 2018-10-10 |
| 1588148175 | Eileen Mangabat Hummel | Nurse Practitioner | 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 | 2018-09-19 |
| 1225532344 | Stacy Lynn Brix | Nurse Practitioner | 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 | 2018-03-22 |
| 1275037087 | Esther Andreessen | Nurse Practitioner | 3457 Eden St, Philadelphia, PA 19114-3605 | 2018-03-19 |
| 1265931570 | Maia Lindsey Francis | Nurse Practitioner | 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 | 2018-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19126 |
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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.