Convenient Care Collaboration LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SP015976 Issued in PA

Legal business name

CONVENIENT CARE COLLABORATION LLC

Practice address

5250 W Jefferson St
Philadelphia, PA 19131-3622

Phone

(267) 975-6765

Fax

(267) 200-0924

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sieda Barrow, FNP-BCNPI 1265634042

Title

CRNP/ Provider

Phone

(267) 975-6765

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sieda Barrow, APRN

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1265634042
  NPD Authorized official

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1164938726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W JEFFERSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313622",
            "telephone_number": "267-975-6765",
            "fax_number": "267-200-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W JEFFERSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191313622",
            "telephone_number": "267-975-6765",
            "fax_number": "267-200-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE COLLABORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "SIEDA",
        "authorized_official_title_or_position": "CRNP/ PROVIDER",
        "authorized_official_telephone_number": "267-975-6765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP015976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265634042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Contreras, RPH
• Carla Contreras, LPC
• Natividad Contreras, BA
• Sarah Catherine Contrucci, DO
• Michael Contu
• Arnold Convento, CRNA
• Conveyance LLC
• Ruth Feinblum Conviser, LCSW
• Conway Davi Unlimited
• Alexandra Conway, MS, LAT, ATC, EMT-B

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.