Organization Active NPI

Nequetta Lashaun Alford

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1306073929
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
131451801 Issued in PA
Legal business name
NEQUETTA LASHAUN ALFORD
Practice address
1235 Pine St
Philadelphia, PA 19107-5945
Phone
(215) 416-8434
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Ms. Nequetta Lashaun Alford, M.B.A. / ABANPI 1922238500
Title
Behavior Specialist Consultant
Phone
(215) 416-8434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 131451801 PA Primary

Addresses

Primary practice location

1235 Pine St
Philadelphia, PA 19107-5945

Mailing address

5921 Reach St
Philadelphia, PA 19120-1114
Phone (215) 416-8434

Other identifiers 1

IdentifierTypeStateIssuer
131451801MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1306073929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 REACH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201114",
            "telephone_number": "215-416-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075945",
            "telephone_number": "215-416-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEQUETTA LASHAUN ALFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "NEQUETTA",
        "authorized_official_middle_name": "LASHAUN",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST CONSULTANT",
        "authorized_official_telephone_number": "215-416-8434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A. / ABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "131451801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131451801",
            "state": "PA"
        }
    ],
    "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 Jun 22, 2009; 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.