KATHERINE TAN (NPI# 1689151037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689151037 |
| Entity Type | Individual |
| Full Name | KATHERINE TAN |
| Practice Address |
4417 N 6th St Philadelphia PA 19140-2319 |
| Mailing Address |
4824 Mckean Ave Philadelphia PA 19144-4708 |
| Practice Telephone | 2319441761 |
| Mailing Telephone | 7573192713 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN709596 | PA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 0001266487 | VA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP019491 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | MW010505 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737414 | Katherine Co Tan | Dentist | 7850 Stockton Blvd Ste 160, Sacramento, CA 95823-4387 | 2019-06-05 |
| 1588706477 | Katherine Hudson Tan | Physical Therapist | 147 W 24th St, 7th Floor, New York, NY 10011-1911 | 2007-02-14 |
| 1306977590 | Katherine Soo Tian Tan | Massage Therapist | 570 Ocean Dr, Holistic Manage & Wellness Clinics # 501, Juno Beach, FL 33408 | 2007-03-08 |
| 1477631554 | Katherine K. Tan | Pediatrics | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2006-11-02 |
| Street Address |
4417 N 6TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427034594 | Annette Mcdaniel Turner | Obstetrics & Gynecology | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2005-12-20 |
| 1871102152 | Corin Elizabeth Dickinson | Registered Nurse | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2020-07-23 |
| 1548802721 | Jenise Nicole Ropp | Nurse Practitioner | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2019-10-09 |
| 1982258877 | Jocelyn Marie Cuadrado | Social Worker | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2019-07-29 |
| 1275002644 | Christina Elyse Derenge | Psychologist | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2018-11-15 |
| 1477060598 | Mena Soliman | Nurse Practitioner | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2018-01-10 |
| 1710427273 | Meridith C Kim | Psychologist | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2017-03-03 |
| 1134670672 | Oanh Hoang Vo | Nurse Practitioner | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2016-10-19 |
| 1336596923 | Heidi Sykora | Social Worker | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2016-05-24 |
| 1225493695 | Kerith Duggan | Nurse Practitioner | 4417 N 6th St, Philadelphia, PA 19140-2319 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| 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 | 19140 |
Please comment or provide details below to improve the information on KATHERINE TAN.
| 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.