SHEBA SAM (NPI# 1093268567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093268567 |
| Entity Type | Individual |
| Full Name | SHEBA SAM |
| Practice Address |
8619 Colony Dr Philadelphia PA 19152-2104 |
| Practice Telephone | 2153019892 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN591219 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016344 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8619 COLONY DR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on SHEBA SAM.
| 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.