ERIKA PACK (NPI# 1790305043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790305043 |
| Entity Type | Individual |
| Full Name | ERIKA PACK |
| Practice Address |
Crozer-chester Medical Center 1 Medical Center Blvd. Upland PA 19013 |
| Mailing Address |
141 Berwyn Rd Pittsburgh PA 15237-2803 |
| Practice Telephone | 6104477612 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PA | Student, Health Care |
| Street Address |
CROZER-CHESTER MEDICAL CENTER 1 MEDICAL CENTER BLVD. |
| City | UPLAND |
| State | PA |
| Zip Code | 19013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| 1164858858 | Caroline Bashore | Anesthesiology | 30 Medical Center Boulevard, Professional Office Bldg 1, Ste. 305, Upland, PA 19013 | 2013-09-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033734 | Erica Huey-yun Liao | Student in an Organized Health Care Education/Training Program | 627 W 13th St, Upland, CA 91786-3000 | 2020-08-16 |
| 1225649957 | Anh Ngoc Dang | Student in an Organized Health Care Education/Training Program | 531 E 13th St Apt 245, Upland, CA 91786-3352 | 2020-08-14 |
| 1366065419 | Chris Costanza | Student in an Organized Health Care Education/Training Program | 1553 W 7th St Apt 102, Upland, CA 91786-6945 | 2020-05-23 |
| 1770103855 | Subha Saeed | Student in an Organized Health Care Education/Training Program | 3 East, Crozer Chester Medical Center, Department of Me, One Medical Center Boulevard, Upland, Pa 19013-3995, Upland, PA 19013-3995 | 2020-04-20 |
| 1063041630 | Monica Rani | Student in an Organized Health Care Education/Training Program | 1624 N San Gabriel Rd, Upland, CA 91784-2505 | 2020-04-06 |
| 1215405519 | Stephanie Ho | Student in an Organized Health Care Education/Training Program | 1302 Judy Ln, Upland, CA 91784-9271 | 2018-11-05 |
| 1770090136 | Rayna Gayle Harrison | Student in an Organized Health Care Education/Training Program | 2800 N Mountain Ave, Upland, CA 91784-9703 | 2018-01-08 |
| 1467804880 | Scarlett Okerblom | Student in an Organized Health Care Education/Training Program | 520 N Central Ave, Apt #1205, Upland, CA 91786-7691 | 2016-07-09 |
| 1386030237 | Joseph Sarcona | Student in an Organized Health Care Education/Training Program | 1416 Northstar Ln, Upland, CA 91784-7905 | 2015-04-07 |
| 1881000420 | Lani Sugita Martinez | Student in an Organized Health Care Education/Training Program | 846 W. Foothill Blvd., Suite C, Upland, CA 91786 | 2014-07-03 |
| Find all providers in UPLAND | ||||
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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.