Active NPI
Tasha Flynn
- Nurse's Aide
- Philadelphia, PA
National Provider Identifier
1154033488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 10029599
- Practice address
- 2031 W Berks St
Philadelphia, PA 19121-2104 - Phone
- (267) 884-8115
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 10029599 | PA | Primary |
Addresses
Primary practice location
2031 W Berks St
Philadelphia, PA 19121-2104
Mailing address
2031 W Berks St
Philadelphia, PA 19121-2104
Phone (267) 884-8115
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 |
|---|---|---|---|
| 10029599 | PA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1154033488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 W BERKS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191212104",
"telephone_number": "267-884-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 W BERKS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191212104",
"telephone_number": "267-884-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "TASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "PA",
"license": "10029599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.