REGINA KELLY-HARTSHORNE (NPI# 1306949250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306949250 |
| Entity Type | Individual |
| Full Name | REGINA KELLY-HARTSHORNE |
| Credential | NP |
| Practice Address |
817 Federal Street Camden NJ 08103 |
| Mailing Address |
817 Federal Street Suite 300 Camden NJ 08103 |
| Practice Telephone | 8565419811 |
| Practice Fax Number | 8562251678 |
| Mailing Telephone | 8565415933 |
| Mailing Fax Number | 8565413340 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NO/NN09043800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6831109 | 05 |
| Street Address |
817 FEDERAL STREET |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892387 | Mary Pollard | Dentist | 817 Federal Street, Suite 300, Camden, NJ 08103 | 2006-04-26 |
| 1609351915 | Debra Ford | Social Worker | 817 Federal Street, Camden, NJ 08103 | 2018-10-02 |
| 1255666830 | Sarika Gill | Dentist | 817 Federal Street, Camden, NJ 08103 | 2009-10-15 |
| 1013156686 | Eric Kfir Yahav | Obstetrics & Gynecology | 817 Federal Street, Camcare Health Corporation, Camden, NJ 08103-1539 | 2009-02-05 |
| 1194917526 | Katie Chen | Dentist | 817 Federal Street, 300, Camden, NJ 08103 | 2007-08-09 |
| 1992867717 | Maria Colon | Dietitian, Registered | 817 Federal Street, Camden, NJ 08103 | 2006-12-15 |
| 1790857696 | Camcare Health Corporation | Clinic/Center | 817 Federal Street, Camden, NJ 08103 | 2006-11-15 |
| 1346331600 | Bonnie Bovaird-jewart | Nurse Practitioner | 817 Federal Street, Camden, NJ 08103 | 2006-09-28 |
| 1043301591 | Richard Santos | Dentist | 817 Federal Street, Camden, NJ 08103 | 2006-09-28 |
| 1396836821 | Rafael Melendez-boria | Dentist | 817 Federal Street, Camden, NJ 08103 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235643859 | Deborah Lipman | Nurse Practitioner | 3 Cooper Plz Rm 309, Camden, NJ 08103-1438 | 2017-11-17 |
| 1346221629 | Nora Jean Rhoads Vizzachero | Nurse Practitioner | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2005-11-14 |
| 1912478439 | Allison Michelle Stec | Nurse Practitioner | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2018-12-10 |
| 1669981684 | Priscilla Zinsky | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103 | 2017-09-21 |
| 1467742908 | Susan Elizabeth Yeomans | Nurse Practitioner | 306 Highway 641 N, Camden, TN 38320-3012 | 2011-04-18 |
| 1780884080 | Elaine Paynter | Nurse Practitioner | 3 Cooper Plz, Suite 200, Camden, NJ 08103 | 2007-07-24 |
| 1134328578 | Diane Alexander Difazio | Nurse Practitioner | 3 Cooper Plz, Camden, NJ 08103-1438 | 2007-07-16 |
| 1336346543 | Patricia A. Digilio | Nurse Practitioner | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-06-29 |
| 1326264417 | Ann Florio | Nurse Practitioner | One Cooper Plaza, 7th Floor Dorrance, Camden, NJ 08103 | 2007-04-17 |
| 1144326455 | Velora A Reynolds | Nurse Practitioner | 817 Federal Street, Camden, NJ 08103 | 2006-09-15 |
| Find all providers in CAMDEN | ||||
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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.