BEENA CHACKO (NPI# 1558954511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558954511 |
| Entity Type | Individual |
| Full Name | BEENA CHACKO |
| Other Name | BEENA CHERIAN (Former Name) |
| Gender | Female |
| Credential | CRNP |
| Practice Address | 69 Marple Dr Philadelphia PA 19115-2121 |
| Practice Telephone | 2157799100 |
| Mailing Address | 69 Marple Dr Philadelphia PA 19115-2121 |
| Mailing Telephone | 2157799100 |
| Certification Date | 2021-02-19 |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner Specialization: Family | SP023118 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 69 MARPLE DR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant · Medical | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1144750944 | Meredith Ann Jones | Dentist · General Practice | 240 Geiger Rd, Philadelphia, PA 19115 | 2017-06-14 |
| 1689127573 | Andrea Frantz | Student in an Organized Health Care Education/Training Program | 211 Geiger Rd, Philadelphia, PA 19115 | 2016-07-27 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come… |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972197069 | Nicole Marie Bassounas | 925 Chestnut St Ste 220a, Philadelphia, PA 19107-4248 | 2021-03-01 | |
| 1821682154 | Abigail S. Tyler · Abigail S Stokes | 801 Washington Avenue, Philadelphia, PA 19147 | 2021-02-26 | |
| 1942891932 | Rinsu Susan Varghese | 1930 Lott Ave, Philadelphia, PA 19115-3218 | 2021-02-01 | |
| 1720676489 | Richard Dyer | 6232 Market St Fl 2, Philadelphia, PA 19139-2922 | 2021-01-07 | |
| 1255929345 | Jennifer Newton | 1104 Welsh Rd, Philadelphia, PA 19115-3730 | 2021-01-05 | |
| 1174111595 | Jacqueline Amanda Veress | 2160 E Sergeant St, Philadelphia, PA 19125-2238 | 2021-01-03 | |
| 1710574975 | Susan Eluwa | 7805 Brocklehurst St, Philadelphia, PA 19152-3502 | 2020-12-22 | |
| 1063008480 | Teresa Stewart Marable | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2020-12-19 | |
| 1730775958 | Matia Kilgore | 1601 Cherry St, Philadelphia, PA 19102-1320 | 2020-12-13 | |
| 1386240687 | Ecua Solomon | 5955 A Street, Philadelphia, PA 19120 | 2020-12-10 | |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841653250 | Beena Ahsan · Beena Umar | Pathology · Anatomic Pathology & Clinical Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-04-02 |
| 1326696121 | Beena Mancheril · Beena Mathachan | Nurse Practitioner · Family | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2019-08-27 |
| 1366612848 | Beena Patel · Beena Raviendran | Pediatrics · Pediatric Emergency Medicine | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-03-11 |
| 1265402085 | Beena J Hagg · Beena J Enu | Radiology · Diagnostic Radiology | 1068 W Baltimore Pike, Media, PA 19063 | 2006-01-24 |
| 1831286814 | Beena Naz · Beena Ahmad | Internal Medicine | 4882 Quality Trail, Orlando, FL 32829 | 2006-10-09 |
| 1215101431 | Beena Jacob · Beena Abraham | Pharmacist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2008-04-18 |
| 1669914313 | Beena Thomas · Beena Kazhuthadiyil Abraham | Nurse Practitioner · Family | 200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831 | 2016-11-12 |
| 1912029281 | Beena Mathew · Beena T Jacob | Nurse Practitioner · Primary Care | 60 Evergreen Place, Suite 400, East Orange, NJ 07018 | 2007-04-06 |
| 1417065061 | Beena S Balakrishnan · Beena Ponducherry | Physical Medicine & Rehabilitation | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2006-08-25 |
| 1346208386 | Beena Mathews Wilkins · Beena Elizabeth Jacob | Pediatrics | 5259 Village Market, Wesley Chapel, FL 33544-8401 | 2006-05-01 |
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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.