KATELYN CLANCY (NPI# 1790183945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790183945 |
| Entity Type | Individual |
| Full Name | KATELYN CLANCY |
| Other Name | KATELYN FRAIN |
| Credential | CRNP |
| Practice Address |
925 Chestnut Street Suite 320a Philadelphia PA 19107 |
| Mailing Address |
925 Chestnut Street Suite 320a Philadelphia PA 19107-4824 |
| Practice Telephone | 2159558874 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP014629 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP014629 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S 11th St, Philadelphia, PA 191074824 | 2159557038 |
| Street Address |
925 CHESTNUT STREET SUITE 320A |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508539 | Ira S Cohen | Internal Medicine | 925 Chestnut Street, Mezzanine Floor - Jefferson Heart Institute, Philadelphia, PA 19107-4201 | 2005-06-20 |
| 1447713920 | Jack Gregory Graham | Student in an Organized Health Care Education/Training Program | 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107-4206 | 2019-04-10 |
| 1891269536 | Kathryn Kirk | Nurse Practitioner | 925 Chestnut Street, Mezzanine, Philadelphia, PA 19107 | 2019-01-16 |
| 1043640592 | Alexandra Deanne Costlow | Audiologist-Hearing Aid Fitter | 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107-4201 | 2013-11-20 |
| 1669739785 | Larissa Sweeny | Otolaryngology | 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107 | 2012-04-13 |
| 1285942524 | Lisa J Kearns | Nurse Practitioner | 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-4216 | 2010-09-21 |
| 1710193982 | Tiffany Perez Avery | Internal Medicine | 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107 | 2007-05-15 |
| 1679684476 | Frederick M Fellin | Internal Medicine | 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-5109 | 2006-08-31 |
| 1013028729 | Joseph N Tropea | Internal Medicine | 925 Chestnut Street, Suite 320a, Philadelphia, PA 19107-5109 | 2006-08-31 |
| 1528089745 | Behzad B. Pavri | Internal Medicine | 925 Chestnut Street, Mezzanine Floor, Philadelphia, PA 19107-4216 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 | 19107 |
Please comment or provide details below to improve the information on KATELYN CLANCY.
| 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.