VILSY THEKKAN


Address: 5000 Woodland Ave, Philadelphia, PA 19143-5137
Phone: 2157269807

VILSY THEKKAN (NPI# 1336704436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336704436
Entity Type Individual
Full Name VILSY THEKKAN
Credential CRNP
Practice Address 5000 Woodland Ave
Philadelphia
PA 19143-5137
Mailing Address 1401 S 31st St Fl 2
Philadelphia
PA 19146-3506
Practice Telephone 2157269807
Practice Fax Number 2157260424
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2019-05-03
Last Update Date 2019-05-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
SP019221 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5000 WOODLAND AVE
City PHILADELPHIA
State PA
Zip Code 19143-5137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659344695 Jeffrey Dunbar Family Medicine 5000 Woodland Ave, Philadelphia, PA 19143-5137 2006-02-09
1225683675 Sara Karju Belle Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2019-08-02
1003380312 Tenera Styles Counselor 5000 Woodland Ave, Philadelphia, PA 19143-5137 2019-01-20
1518437615 Nicole Marie Hartman Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2018-11-30
1164965885 Janine Layendecker Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2016-11-29
1205249208 Hanna Rose Mabry Advanced Practice Midwife 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-06-06
1013329366 Sara' Fleming-donley Dietetic Technician, Registered 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-05-21
1760801898 Leeann Tanaka Family Medicine 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-04-16
1679997548 Kristin Melli Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-02-12
1942621040 Lela B Gould Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2013-12-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215554142 Trusted Hands Care Professionals LLC In Home Supportive Care 1130 South Paxon Street, Philadelphia, PA 19143 2020-06-26
1477189140 Kareemah Anjail Abdullah Counselor 5307 Chelen Ave, Philadelphia, PA 19143 2020-03-13
1336604024 Mohamed Keita Non-emergency Medical Transport (VAN) 5030 Warrington Avenue, Philadelphia, PA 19143 2019-02-06
1366924011 Whitney Tamika Carter Specialist/Technologist 5526 Ridgewood St, Philadelphia, PA 19143 2018-08-29
1639662190 Mattew Muchnick Physical Therapist 4730 Hazel Ave 2r, Philadelphia, PA 19143 2018-06-10
1750883062 Optimal Support for Everyday Lives Case Management 5800 Springfield Avenue, Philadelphia, PA 19143 2018-03-02
1205352671 New Visions Case Management & Consulting, LLC Social Worker 726 S 55th Street, Philadelphia, PA 19143 2017-08-17
1104342583 Mercy Management of Southeastern Pennsylvania Orthopaedic Surgery 501 S 54th St Ste 28, Phila, PA 19143 2017-08-17
1093238388 Blessed Hands Home Care Agency L.L.C. Home Health 433 S. 57th Street, Phila, PA 19143 2017-07-19
1891216529 Ashley Seiver Occupational Therapist 923 S. 46th Street, Philadelphia, PA 19143 2017-07-03
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508471582 Yanshi Lin Nurse Practitioner 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 2020-09-15
1821636317 Mary Mumbi Njogu Nurse Practitioner 907 Woodbrook Ln, Philadelphia, PA 19150-3217 2019-12-15
1235696741 Divya Rebecca Roberts Nurse Practitioner 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 2019-02-21
1770073090 Eboni Simmons Nurse Practitioner 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 2018-05-11
1780180620 Natalie Clarke Nurse Practitioner 7727 Overbrook Ave, Philadelphia, PA 19151-2016 2018-03-31
1396240792 Barbara Ann Young Nurse Practitioner 15054 Carter Rd, Philadelphia, PA 19116-1503 2018-03-27
1780182451 Kelly Ann Joyce Nurse Practitioner 5225 Arendell Ave, Philadelphia, PA 19114-4229 2018-01-29
1699273615 Dana Patricia Ridley Nurse Practitioner 2024 Emily St, Philadelphia, PA 19145-2823 2018-01-24
1497205157 Sinu Satheeshbabu Nair Nurse Practitioner 9285 Darlington Rd, Philadelphia, PA 19115-2734 2016-10-06
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

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.

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