ELIZABETH PARK (NPI# 1619528833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619528833 |
| Entity Type | Individual |
| Full Name | ELIZABETH PARK |
| Credential | CRNP |
| Practice Address |
2600 N American St Philadelphia PA 19133-3413 |
| Practice Telephone | 2157392669 |
| Mailing Telephone | 2157392669 |
| Mailing Fax Number | 2157395879 |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2020-07-21 |
| 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 |
SP020867 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447511274 | Elizabeth Park | Internal Medicine | 260 Tremont St Fl 5, Boston, MA 02116-5603 | 2012-06-07 |
| 1780995191 | Elizabeth Calder Park | Physical Therapist | 175 Inverness Dr W Ste 100, Englewood, CO 80112-5066 | 2010-06-30 |
| 1003999889 | Elizabeth Park | Dentist | 501 S Division St, Carson City, NV 89703 | 2006-10-23 |
| 1447255096 | Elizabeth A Park | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2005-06-19 |
| 1871988576 | Elizabeth Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2015-03-31 |
| 1487081311 | Elizabeth Christine Park | Dietitian, Registered | 800 S Tucker Dr, Tulsa, OK 74104-9700 | 2013-10-10 |
| 1649515305 | Elizabeth Park | Occupational Therapist | 2555 E Colorado Blvd Ste 100, Pasadena, CA 91107-6617 | 2012-12-06 |
| 1063771004 | Elizabeth Yae-na Park | Emergency Medicine | One Baylor Plaza, Baylor College of Medicine Bcm 620, Houston, TX 77030-3411 | 2012-05-11 |
| 1740438183 | Elizabeth Arnold Park | Radiology | 1700 Center St, Mobile, AL 36604-3301 | 2008-08-27 |
| 1760515886 | Elizabeth Anne Park | Psychologist | 4650 W Sunset Blvd, Ms#53, Los Angeles, CA 90027-6062 | 2007-03-14 |
| Street Address |
2600 N AMERICAN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19133-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225100498 | Genoa Healthcare, LLC | Pharmacy | 2600 N American St, Philadelphia, PA 19133-3413 | 2006-11-14 |
| 1770143430 | Charles Daniel Falconer | Registered Nurse | 2600 N American St, Philadelphia, PA 19133-3413 | 2019-06-15 |
| 1871090050 | Valare Palmer | Pharmacist | 2600 N American St, Philadelphia, PA 19133-3413 | 2018-04-12 |
| 1780103028 | Susan Chang | Pharmacist | 2600 N American St, Philadelphia, PA 19133-3413 | 2017-09-19 |
| 1497276414 | Revie Jane Mae Guanzon | Registered Nurse | 2600 N American St, Philadelphia, PA 19133-3413 | 2017-06-29 |
| 1801331046 | Darcy Lynn Pancir | Nurse Practitioner | 2600 N American St, Philadelphia, PA 19133-3413 | 2016-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
| 1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
| 1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
| 1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
| 1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
| 1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
| 1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
| 1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
| 1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| Find all providers in zip 19133 | ||||
| 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 | 19133 |
Please comment or provide details below to improve the information on ELIZABETH PARK.
| 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.