SARAH ELYSE THORNBURG


Address: 850 N 11th St, Philadelphia, PA 19123-1957
Phone: 2157691100

SARAH ELYSE THORNBURG (NPI# 1386011716) 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) 1386011716
Entity Type Individual
Full Name SARAH ELYSE THORNBURG
Credential CRNP
Practice Address 850 N 11th St
Philadelphia
PA 19123-1957
Mailing Address 851 N 28th St # B
Philadelphia
PA 19130-1227
Practice Telephone 2157691100
Practice Fax Number 2675973622
Mailing Telephone (610) 704-6695
Enumeration Date 2015-09-02
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN637670 PA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP015312 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3774 Ridge Pike, Collegeville, PA 194263169 6104893333

Office Location

Street Address 850 N 11TH ST
City PHILADELPHIA
State PA
Zip Code 19123-1957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043213671 Debra Mcgrath Nurse Practitioner 850 N 11th St, Philadelphia, PA 19123-1957 2005-05-27
1063045110 Laura Baehr Physical Therapist 850 N 11th St, Philadelphia, PA 19123-1957 2020-02-18
1447815097 Dana Robinson Dental Hygienist 850 N 11th St, Philadelphia, PA 19123-1957 2019-05-08
1891268025 Amy Lyn Kesslick Counselor 850 N 11th St, Philadelphia, PA 19123-1957 2019-01-10
1467929240 Mina Dinh Dentist 850 N 11th St, Philadelphia, PA 19123-1957 2018-10-30
1982121455 Angela Hall-morris Dental Hygienist 850 N 11th St, Philadelphia, PA 19123-1957 2017-08-25
1659898203 Michael R Kossey Dental Hygienist 850 N 11th St, Philadelphia, PA 19123-1957 2017-08-24
1013432897 Jessica Falk Social Worker 850 N 11th St, Philadelphia, PA 19123-1957 2017-08-14
1003356908 Lindsay Meeks Edwards Counselor 850 N 11th St, Stephen & Sandra Sheller 11th Street Family Health Serv, Philadelphia, PA 19123-1957 2017-02-27
1386191187 Kellie Hixon Social Worker 850 N 11th St, Philadelphia, PA 19123-1957 2016-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1649761677 Dawn Webster Acupuncturist 466 N 10th St, Philadelphia, PA 19123 2018-05-25
1629566237 Tri-county Home Health Medical Supplies LLC Durable Medical Equipment & Medical Supplies 443-45 W. Girard Ave, Ste 2b, Philadelphia, PA 19123 2018-04-30
1508389214 Greater Delaware Valley Society of Transplant Surgeons Organ Procurement Organization 401 N. 3rd Street, Philadelphia, PA 19123 2017-07-25
1770987588 Eugene Borys Social Worker 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 2014-10-22
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1508271925 Waleska Santiago, PC Internal Medicine 1 Brown Street Unit 1414, Philadelphia, PA 19123 2014-06-24
1366865537 Keli Hunter Chiropractor 683 N. Broad Street, Philadelphia, PA 19123 2014-01-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1336410851 Justin Egoville Nurse Practitioner 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 2012-01-13
1396050720 Dwayne M Toomer Nurse Practitioner 718 Addison St Apt E, Philadelphia, PA 19147-1353 2010-08-10
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Competitor

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City PHILADELPHIA
Zip Code 19123

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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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