KHADIJA ZIYADEH (NPI# 1871124115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871124115 |
| Entity Type | Individual |
| Full Name | KHADIJA ZIYADEH |
| Credential | APRN |
| Practice Address |
4700 Wissahickon Ave Philadelphia PA 19144-4248 |
| Mailing Address |
6120 Woodland Ave Philadelphia PA 19142-3200 |
| Practice Telephone | 2158439720 |
| Mailing Telephone | 2673420095 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP021608 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ACADEMY OF NURSE PRACTITIONER | F11190270 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Office Center Dr Ste 125, Fort Washington, PA 190340129 | 2155577300 |
| Street Address |
4700 WISSAHICKON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191766 | Donna L. Torrisi | Nurse Practitioner | 4700 Wissahickon Ave, Suite 119, Philadelphia, PA 19144-4248 | 2005-08-11 |
| 1639792088 | Naa-fofoi Dorsey Wharton | Nurse Practitioner | 4700 Wissahickon Ave, Building D, Philadelphia, PA 19144 | 2020-05-20 |
| 1578057576 | Joana Ruby Callanta Bueno | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2018-06-22 |
| 1285141242 | Veronica Rose Burke | Dental Hygienist | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-12-29 |
| 1629583497 | Joi Elizabeth Goodwin | Nurse Practitioner | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-12-03 |
| 1710411749 | Jennifer Schockemoehl | Registered Nurse | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2017-04-17 |
| 1659812964 | Resources for Human Development | Community/Behavioral Health | 4700 Wissahickon Ave, Suite 126, Philadelphia, PA 19144-4248 | 2017-03-20 |
| 1457890113 | Ritechoice Pharmacy Iv, LLC | Pharmacy | 4700 Wissahickon Ave, Building E, Suite 100, Philadelphia, PA 19144-4248 | 2017-02-14 |
| 1891142683 | Kareemah Grossett | Social Worker | 4700 Wissahickon Ave, Ste 118, Philadelphia, PA 19144-4248 | 2016-05-21 |
| 1073986584 | Maegen Kathryn Johnson | Physical Therapist | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| 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 | 19144 |
Please comment or provide details below to improve the information on KHADIJA ZIYADEH.
| 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.