LORI PELLEGRINO


Address: 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563
Phone: 2159556750

LORI PELLEGRINO (NPI# 1891030961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891030961
Entity Type Individual
Full Name LORI PELLEGRINO
Credential CRNP
Practice Address 1100 Walnut St
Suite 500
Philadelphia
PA 19107-5563
Practice Telephone 2159556750
Enumeration Date 2012-11-30
Last Update Date 2014-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP012475 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 102866661 05

Other Providers LORI PELLEGRINO

NPI Name Taxonomy Address Enumeration
1033265525 Lori Pellegrino Psychiatry & Neurology 320 Central Park W, Suite 1e, New York, NY 10025-7659 2007-01-26

Office Location

Street Address 1100 WALNUT ST
SUITE 500
City PHILADELPHIA
State PA
Zip Code 19107-5563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932193182 Michael D Stillman Internal Medicine 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 2005-09-02
1760968150 Jessica Christina Russo Genetic Counselor, MS 1100 Walnut St, Philadelphia, PA 19107-5563 2018-07-18
1326481565 Jonathan Pan Internal Medicine 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 2013-04-08
1013281633 Catherine Gill-preston Nurse Practitioner 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 2012-02-29
1316225857 Shawnna Cannaday Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-08-02
1003104274 Anirudh Kohli Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-07-21
1730486366 Michael Pucci Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-02-17
1801102223 Matthew William Laporta Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2010-08-23
1437393634 Anne L. Rosenberg, M.d. Specialist 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 2009-05-01
1720226210 Gurjyot Bajwa Thoracic Surgery (Cardiothoracic Vascular Surgery) 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2009-01-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841834710 Joseph Mascaro Nurse Practitioner 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 2019-11-04
1780185835 Neva White Nurse Practitioner 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 2018-02-23
1790298487 Anne Kathryn Henner Nurse Practitioner 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 2017-11-16
1174052997 Cynthia Wheeler Nurse Practitioner 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 2017-06-06
1740716893 Liliya Gurevich Nurse Practitioner 7906 Frontenac St, Philadelphia, PA 19111-2902 2017-05-11
1235589664 Juliana Omile Nurse Practitioner 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 2016-06-16
1275980468 Joji Thomas Nurse Practitioner 9659 Sandanne Rd, Philadelphia, PA 19115-2727 2016-05-18
1073988374 Cristhi Wilson-brown Nurse Practitioner 521 W Girard Ave, Philadelphia, PA 19123-1428 2015-12-11
1932579984 Tierney A Fisher Nurse Practitioner 3737 Market St Fl 10, Philadelphia, PA 19104-5545 2015-10-03
1306223813 Anthony Yaroslav Fisun Nurse Practitioner 2008 President St, Philadelphia, PA 19115-2607 2015-05-04
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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