JARED CARTER-DAVIS (NPI# 1245705748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245705748 |
| Entity Type | Individual |
| Full Name | JARED CARTER-DAVIS |
| Credential | CRNP |
| Practice Address |
800 Washington Ave Philadelphia PA 19147-4717 |
| Mailing Address |
1401 S 31st St Fl 2 Philadelphia PA 19146-3506 |
| Practice Telephone | 2153395100 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159259162 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP019375 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 WASHINGTON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384208 | Ena M. Cade | Pediatrics | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2005-11-21 |
| 1700425584 | Monika Katherine Wasik | Nurse Practitioner | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2019-12-27 |
| 1326686528 | Emily Anderson | Nurse Practitioner | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2019-12-18 |
| 1366908170 | Linyue Peng | Dietitian, Registered | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2019-02-17 |
| 1962936542 | Heidi Anne Hershberger-esh | Nurse Practitioner | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2017-04-20 |
| 1467995936 | Amanda Vanpelt | Nurse Practitioner | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2016-11-30 |
| 1639446495 | Jasmine Perez | Advanced Practice Midwife | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2011-11-22 |
| 1720211196 | Diedra Elena Amendola Mccafferty | Family Medicine | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2009-09-01 |
| 1891712618 | Bonnie L. Van Uitert | Internal Medicine | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2006-07-16 |
| 1417902362 | Greater Philadelphia Health Action Inc. | Family Medicine | 800 Washington Ave, Philadelphia, PA 19147-4717 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 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 |
| 1205306545 | Vadim Selyukov | Nurse Practitioner | 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 | 2018-11-29 |
| 1619420940 | Bridget Mccoy | Nurse Practitioner | 4929 Cedar Ave, Philadelphia, PA 19143-2013 | 2016-08-03 |
| 1003265489 | Stephanie Hand | Nurse Practitioner | 2409 Bainbridge St, Philadelphia, PA 19146-1014 | 2016-06-07 |
| 1679929095 | Michelle Marowitz | Nurse Practitioner | 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 | 2016-05-05 |
| 1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
| 1174920086 | Frances Garbarino | Nurse Practitioner | 501 S 53rd St, Philadelphia, PA 19143 | 2014-11-21 |
| 1033551130 | Mollie Evelyn Wilson | Nurse Practitioner | 5820 W Girard Ave, Philadelphia, PA 19131-4850 | 2013-07-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on JARED CARTER-DAVIS.
| 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.