TESSA KOVICK (NPI# 1619347655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619347655 |
| Entity Type | Individual |
| Full Name | TESSA KOVICK |
| Practice Address |
100 E Lancaster Ave Ste 114 Wynnewood PA 19096 |
| Mailing Address |
100 E Lancaster Ave Ste 114 Wynnewood PA 19096-3450 |
| Practice Telephone | 4843372580 |
| Practice Fax Number | 6106472006 |
| Mailing Telephone | 4843372580 |
| Mailing Fax Number | 6106472006 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN596763 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015513 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 E LANCASTER AVE STE 114 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| 1225380918 | Aviva Sharon Gaskill | Psychologist | 308 East Lancast Ave, Suite 200, Wynnewood, PA 19096 | 2012-10-05 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561451 | Sheyla Michele De Souza Cunha | Nurse Practitioner | 215 Old Forest Rd, Wynnewood, PA 19096-4055 | 2020-02-26 |
| 1760951594 | Amanda Di Grazia | Nurse Practitioner | 100 E Lancaster Ave Ste 137, Wynnewood, PA 19096-3453 | 2018-11-22 |
| 1639682024 | Chi-tzu Huang | Nurse Practitioner | 106 N Powell Ave, Wynnewood, OK 73098-6608 | 2017-11-08 |
| 1053710053 | Shelly Rae Robbins | Nurse Practitioner | 106 N Powell, Wynnewood, OK 73098 | 2014-08-15 |
| 1609842160 | Karen G Shauger | Nurse Practitioner | 306 E Lancaster Ave Ste 400, Wynnewood, PA 19096-2105 | 2006-02-24 |
| 1902394968 | Shakia Mary Blount-williams | Nurse Practitioner | 100 E Lancaster Ave Ste 330, Wynnewood, PA 19096 | 2018-04-25 |
| 1053817080 | Bonnie O'hara | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2018-03-30 |
| 1336661008 | Leah Rebeccca Mccurdy | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2017-07-13 |
| 1053853770 | Kimberly Nolan | Nurse Practitioner | 100 E Lancaster Ave, Suite 230, Wynnewood, PA 19096-3450 | 2016-11-11 |
| 1093176505 | Jill Gebert | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2016-03-10 |
| Find all providers in WYNNEWOOD | ||||
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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.