ADAMINAH KHEPHZIBAH BAHT-YEHUDAH (NPI# 1831115252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831115252 |
Entity Type | Individual |
Full Name | ADAMINAH KHEPHZIBAH BAHT-YEHUDAH |
Other Name | NANCY ANN KELLEY |
Credential | PA-C |
Practice Address |
500 E 51st St Chicago IL 60615-2400 |
Mailing Address |
8056 S Essex Ave Chicago IL 60617-1221 |
Practice Telephone | 3125721089 |
Practice Fax Number | 3125721294 |
Mailing Telephone | 7739780072 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 363AM0700X |
Physician Assistant Specialization: Medical |
IL | Physician Assistants & Advanced Practice Nursing Providers | |
X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 E 51ST ST |
City | CHICAGO |
State | IL |
Zip Code | 60615-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316919061 | Clyniece Lois Watson | Pediatrics | 500 E 51st St, Department of Pediatrics, Chicago, IL 60615-2400 | 2006-02-06 |
1598379430 | Chidinma Nwokocha | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2020-09-08 |
1235760224 | Cook County | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2020-01-29 |
1013489814 | Margaret Hennessy | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2018-12-19 |
1477021913 | Cook County | Clinic/Center | 500 E 51st St, Chicago, IL 60615-2400 | 2018-11-02 |
1487135208 | Dianna Denise Hilson | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2018-08-29 |
1497271571 | Colleen Minnie Hallinan | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2017-08-20 |
1184171159 | Charlia Arbo | Pharmacist | 500 E 51st St, 430 East 50th Place, Chicago, IL 60615-2400 | 2016-09-07 |
1205204542 | Bria Jena Mays | Occupational Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2015-09-03 |
1891194643 | Mark Lower | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2014-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
Find all providers in zip 60615 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
Find all providers in CHICAGO |
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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.