JOANA RUBY CALLANTA BUENO (NPI# 1578057576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578057576 |
| Entity Type | Individual |
| Full Name | JOANA RUBY CALLANTA BUENO |
| Credential | MSN, CRNP, PMHNP-BC |
| Practice Address |
4700 Wissahickon Ave Philadelphia PA 19144-4248 |
| Practice Telephone | 2675973600 |
| Mailing Telephone | 2675973600 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP019733 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Spruce St, Philadelphia, PA 19104 | 2156624000 |
| Street Address |
4700 WISSAHICKON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191766 | Donna L. Torrisi | Nurse Practitioner | 4700 Wissahickon Ave, Suite 119, Philadelphia, PA 19144-4248 | 2005-08-11 |
| 1639792088 | Naa-fofoi Dorsey Wharton | Nurse Practitioner | 4700 Wissahickon Ave, Building D, Philadelphia, PA 19144 | 2020-05-20 |
| 1871124115 | Khadija Ziyadeh | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2020-01-27 |
| 1285141242 | Veronica Rose Burke | Dental Hygienist | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-12-29 |
| 1629583497 | Joi Elizabeth Goodwin | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-12-03 |
| 1710411749 | Jennifer Schockemoehl | Registered Nurse | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-04-17 |
| 1659812964 | Resources for Human Development | Community/Behavioral Health | 4700 Wissahickon Ave, Suite 126, Philadelphia, PA 19144-4248 | 2017-03-20 |
| 1457890113 | Ritechoice Pharmacy Iv, LLC | Pharmacy | 4700 Wissahickon Ave, Building E, Suite 100, Philadelphia, PA 19144-4248 | 2017-02-14 |
| 1891142683 | Kareemah Grossett | Social Worker | 4700 Wissahickon Ave, Ste 118, Philadelphia, PA 19144-4248 | 2016-05-21 |
| 1073986584 | Maegen Kathryn Johnson | Physical Therapist | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| 1104440940 | Patricia Cecilia Castillo | Nurse Practitioner | 49204 Delaire Landing Rd, Philadelphia, PA 19114-5329 | 2020-06-06 |
| 1184271074 | Clement John | Nurse Practitioner | 3253 N 6th St, Philadelphia, PA 19140-5644 | 2019-08-25 |
| 1558915967 | Latoya Mohammed | Nurse Practitioner | 3300 Henry Ave Ste 3n, Philadelphia, PA 19129-1141 | 2019-07-25 |
| 1225427867 | Alison Ercole | Nurse Practitioner | 4301 Spruce St, Apt A 414, Philadelphia, PA 19104-4760 | 2015-01-20 |
| 1790195386 | Thomasean Britten | Nurse Practitioner | 449 Parker Ave, Philadelphia, PA 19128-4403 | 2014-05-05 |
| 1891048377 | Elizabeth Ann Milburn | Nurse Practitioner | 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 | 2012-10-20 |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
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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.