KERRY ANN LOUGHRAN LOUGHRAN (NPI# 1114476207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114476207 |
| Entity Type | Individual |
| Full Name | KERRY ANN LOUGHRAN LOUGHRAN |
| Other Name | KERRY ANN SCHAEFER |
| Credential | CRNP |
| Practice Address |
200 E State St Ste 100 Media PA 19063-3434 |
| Mailing Address |
1098 W Baltimore Pike Suite 3101 Outpatient Pavilion Media PA 19063-5139 |
| Practice Telephone | 6108919277 |
| Mailing Telephone | 6108919277 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP016489 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP016489 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP016489 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 E STATE ST STE 100 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558741 | Leni S.g Mampallil | Nurse Practitioner | 200 E State St Ste 100, Media, PA 19063-3434 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
| 1922595974 | Daniel John Larmour | Nurse Practitioner | 317 Crestview Cir, Media, PA 19063-1736 | 2018-04-16 |
| 1336510163 | Mackenzie Williams Houser | Nurse Practitioner | 1068 W Baltimore Pike Ste 202, Media, PA 19063 | 2015-10-20 |
| 1245844893 | Christina Danielle Nevins | Nurse Practitioner | 602 E Baltimore Pike, Media, PA 19063-1735 | 2020-09-01 |
| 1417472333 | Stephanie Mandos | Nurse Practitioner | 200 E State St, Media, PA 19063-3434 | 2017-08-11 |
| 1922558741 | Leni S.g Mampallil | Nurse Practitioner | 200 E State St Ste 100, Media, PA 19063-3434 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
| 1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
| 1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
| 1104474394 | Caroline Wilkinson | Nurse Practitioner | 752 Crooked Ln, King of Prussia, PA 19406-3554 | 2019-08-30 |
| 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.