NICOLE MARIE BASSOUNAS
Nurse Practitioner (Family)

Address: 925 Chestnut St Ste 220a, Philadelphia, PA 19107-4248

NICOLE MARIE BASSOUNAS (NPI# 1972197069) 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) 1972197069
Entity Type Individual
Full Name NICOLE MARIE BASSOUNAS
Gender Female
Credential CRNP, FNP-C
Practice Address 925 Chestnut St Ste 220a
Philadelphia
PA 19107-4248
Practice Telephone 2159558874
Mailing Address 1527 Pine St Apt 3f
Philadelphia
PA 19102-4643
Mailing Telephone 7176493255
Certification Date 2021-03-01
Enumeration Date 2021-03-01
Last Update Date 2021-03-01
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP023004 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 925 CHESTNUT ST STE 220A
City PHILADELPHIA
State PA
Zip Code 19107-4248

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1487241881 Madeline Aghazarian Registered Nurse 901 Walnut Street, Health Professions Academic Building, 8th Floor, Philadelphia, PA 19107 2020-12-31
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
1568088649 Malika Gill Student in an Organized Health Care Education/Training Program 800 Spruce Street, Philadelphia, PA 19107 2020-06-24
1386265635 Karla Maria Asturias Gonzalez Student in an Organized Health Care Education/Training Program 800 Spruce Street, Philadelphia, PA 19107 2020-04-28
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1255969697 Sukhdeep Rathore Nurse Anesthetist, Certified Registered 800 Spruce Street, Pennsylvania Hospital, Philadelphia, PA 19107 2020-03-31
1942835251 Mental Health Partnerships Community/Behavioral Health 1211 Chestnut St, 11th Floor, Philadelphia, PA 19107 2020-03-06
1295384808 Methodist Associates In Healthcare, Inc. Internal Medicine · Nephrology 211 S 9th St Ste 600, Philadelphia, PA 19107 2019-09-06
1023664067 Catharine Maria Farnan Nurse Practitioner · Gerontology Thomas Jefferson University Hospital, 11th and Walnuts Streets, Philadelphia, PA 19107 2019-08-15
Find all providers in zip 19107

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
1821682154 Abigail S. Tyler · Abigail S Stokes 801 Washington Avenue, Philadelphia, PA 19147 2021-02-26
1558954511 Beena Chacko · Beena Cherian 69 Marple Dr, Philadelphia, PA 19115-2121 2021-02-19
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
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.