CHRISTIANA AYENI (NPI# 1457991416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457991416 |
| Entity Type | Individual |
| Full Name | CHRISTIANA AYENI |
| Practice Address |
561 Fairthorne Ave Philadelphia PA 19128-2412 |
| Mailing Address |
369 Wheatfield Cir Hatfield PA 19440-3089 |
| Practice Telephone | 2673382263 |
| Mailing Telephone | 2157564862 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP021118 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 28878850 | 28878850 | 01 |
| Street Address |
561 FAIRTHORNE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775977 | Kenneth Norman Vermette | Family Medicine | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2006-01-24 |
| 1326689753 | Colleen Chiu | Nurse Practitioner | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2019-10-07 |
| 1891268884 | Sarah Kish | Family Medicine | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2019-01-02 |
| 1962936336 | Elissa Pettinato | Physician Assistant | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2017-04-12 |
| 1407240344 | Ahmed Fayed | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2015-03-27 |
| 1487099826 | Mohammed Daher | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2013-04-29 |
| 1013258177 | Lawrence H Han | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2013-03-13 |
| 1114231966 | Christine Sloan | Nurse Practitioner | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2010-08-04 |
| 1295046241 | Matthias Sommer | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2010-06-24 |
| 1083875124 | Joseph Yi | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
Please comment or provide details below to improve the information on CHRISTIANA AYENI.
| 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.