OLIVIA CARRASQUILLO (NPI# 1669827572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669827572 |
| Entity Type | Individual |
| Full Name | OLIVIA CARRASQUILLO |
| Credential | NP |
| Practice Address |
3998 Red Lion Road Suite 240 Philadelphia PA 19114 |
| Mailing Address |
10 Presidential Blvd Suite 124 Bala Cynwyd PA 19004-1107 |
| Practice Telephone | 2156323500 |
| Practice Fax Number | 2156326335 |
| Mailing Telephone | 6106649700 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP015904 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3998 RED LION ROAD SUITE 240 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353898 | Albert Saul | Internal Medicine | 3998 Red Lion Road, Suite 207, Philadelphia, PA 19114-1440 | 2005-08-15 |
| 1063755395 | Yi Huang | Surgery | 3998 Red Lion Road, Suite 301, Philadelphia, PA 19114-1436 | 2013-04-04 |
| 1841429883 | Chioma Oti | Emergency Medicine | 3998 Red Lion Road, Philadelphia, PA 19114 | 2009-07-13 |
| 1396974044 | Justin Miles Spratt | Emergency Medicine | 3998 Red Lion Road, Aria Health Torresdale Office of Medical Education, Philadelphia, PA 19114 | 2009-07-02 |
| 1447426499 | John P. Mackrell | Radiology | 3998 Red Lion Road, Philadelphia, PA 19114-1436 | 2008-04-30 |
| 1942482245 | Noble George | Nuclear Medicine | 3998 Red Lion Road, Philadelphia, PA 19114-1436 | 2007-11-29 |
| 1437220837 | Segal Aaronson Pulmonary Associates PC | Internal Medicine | 3998 Red Lion Road, Suite 250, Philadelphia, PA 19114 | 2006-11-10 |
| 1952471682 | Michelle J. Dumas | Radiology | 3998 Red Lion Road, Philadelphia, PA 19114-1436 | 2006-11-09 |
| 1770672040 | Gary Aaronson | Internal Medicine | 3998 Red Lion Road, Suite 250, Philadelphia, PA 19114 | 2006-10-12 |
| 1194836387 | Steven M Geller | Internal Medicine | 3998 Red Lion Road, Suite 250, Philadelphia, PA 19114 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on OLIVIA CARRASQUILLO.
| 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.