Judith Lynne Rappaport, RN MSN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN290839L Issued in PA

Practice address

628 S Broad St FL 3
Philadelphia, PA 19146-1750

Phone

(215) 680-3520

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1164070769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 MELON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303303",
            "telephone_number": "215-680-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 S BROAD ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461750",
            "telephone_number": "215-680-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPAPORT",
        "first_name": "JUDITH",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RN MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "RN290839L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "RN290839L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Rapino
• Rapoport RX Inc
• Rapoport RX Inc
• Jordan Benjamin Rapp, M.D.
• Shelby Rapp
• Richard L Rappaport, PHD
• Daniel Rappoport, MD
• Lilly Delphene Rapps, PA-C
• Christopher Joseph Rapuano, MD
• Patrick Burns Rapuano

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.