Active NPI
Dahnelle Mamayea Dennis, FNP
- Family Nurse Practitioner
- Ridley Park, PA
National Provider Identifier
1003513201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP026332
- Practice address
- 17 W Chester Pike Apt B1
Ridley Park, PA 19078-2009 - Phone
- (215) 966-2153
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP026332 | PA | Primary |
Addresses
Primary practice location
17 W Chester Pike Apt B1
Ridley Park, PA 19078-2009
Mailing address
17 W Chester Pike Apt B1
Ridley Park, PA 19078-2009
Phone (215) 966-2153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP026332 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1003513201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 W CHESTER PIKE APT B1",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782009",
"telephone_number": "215-966-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 W CHESTER PIKE APT B1",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190782009",
"telephone_number": "215-966-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "DAHNELLE",
"middle_name": "MAMAYEA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP026332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.