FATIMO ABIOLA (NPI# 1396221321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396221321 |
| Entity Type | Individual |
| Full Name | FATIMO ABIOLA |
| Credential | RN |
| Practice Address |
100 Yearsley Mill Rd Media PA 19063-5518 |
| Mailing Address |
3798 Woodland Ave Apt G Drexel Hill PA 19026-3128 |
| Practice Telephone | 4842271476 |
| Mailing Telephone | 4842271476 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN581008 | PA | Nursing Service Providers |
| Street Address |
100 YEARSLEY MILL RD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964609 | Allison Dwyer Cericola | Counselor | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2019-10-28 |
| 1962967414 | Heather Phelps | Counselor | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2019-02-08 |
| 1205312030 | Christina Hoffman | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2018-07-15 |
| 1881170900 | Nicole Marie Hays | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-11 |
| 1285120469 | Jennifer Lynn Bascelli | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2018-07-10 |
| 1376039974 | Amy-megan Ellen James | Licensed Practical Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-06 |
| 1912493529 | Rachel Bailey | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-06 |
| 1538654918 | Rebecca Mitchell | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-27 |
| 1932692043 | Gretchen Delone | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-13 |
| 1235621004 | Julia Elizabeth Windsor | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-06 |
| Find all providers in the same location | ||||
| 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 | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1205312030 | Christina Hoffman | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2018-07-15 |
| 1881170900 | Nicole Marie Hays | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-11 |
| 1912493529 | Rachel Bailey | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-07-06 |
| 1538654918 | Rebecca Mitchell | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-27 |
| 1932692043 | Gretchen Delone | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-13 |
| 1235621004 | Julia Elizabeth Windsor | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-06 |
| 1427540277 | Karen Giacomucci | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5593 | 2018-06-06 |
| 1700378858 | Pat Pawling | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-05 |
| 1780176982 | Monica Frances Burdette | Registered Nurse | 100 Yearsley Mill Rd, Media, PA 19063-5518 | 2018-06-04 |
| Find all providers in MEDIA | ||||
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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.