BEENA CHACKO
BEENA CHERIAN · Nurse Practitioner (Family)

Address: 69 Marple Dr, Philadelphia, PA 19115-2121

BEENA CHACKO (NPI# 1558954511) 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) 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

Taxonomy

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

Office Location

Street Address 69 MARPLE DR
City PHILADELPHIA
State PA
Zip Code 19115-2121

Providers in the same zip code prefix

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come…

Providers in the same taxonomy and city

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

Competitor

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City PHILADELPHIA
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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.