Health Promotion Council of Southeastern Pennsylvania, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

HEALTH PROMOTION COUNCIL OF SOUTHEASTERN PENNSYLVANIA, INC.

Practice address

1500 Market St
Centre Square East
Philadelphia, PA 19102-2100

Phone

(215) 731-6189

Fax

(215) 731-6199

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Pamela Everett Clarke

Title

Sr Director of Quality & Operations

Phone

(267) 765-2334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE3 enrollments

Enrollment records 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Public Health Management Corporation

  dba PHMC at Stenton Manor

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1053847053

  Member Of

  NPD member

Practitioners 4

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

• Erin Wingen, MS, RD

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1598537029
  Medicare reassignment
• Eric Bumbaca

  • Health & Wellness Coach
  • Philadelphia, PA
  • NPI 1679290795
  NPD
• Abigail Elizabeth Nessle, RDN

  • Registered Dietitian
  • Wescosville, PA
  • NPI 1114651221

  Dietitian, Registered

  NPD
• Jerry C Johnson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Philadelphia, PA
  • NPI 1669415972
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326427022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "CENTRE SQUARE EAST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-731-6189",
            "fax_number": "215-731-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "CENTRE SQUARE EAST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-731-6189",
            "fax_number": "215-731-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PROMOTION COUNCIL OF SOUTHEASTERN PENNSYLVANIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "SR DIRECTOR OF QUALITY & OPERATIONS",
        "authorized_official_telephone_number": "267-765-2334"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Hero PA LLC
• Health Hive LLC
• Health on South RX LLC
• Health Partners Plans (Jefferson Health Plans)
• Health Power International, Inc. (HPI, Inc.)
• Health Promotion Council of Southeastern Pennsylvania, Inc.
• Health Services of FCCC (Anesthesia Assoc of FCCC)
• Health Services of FCCC
• Health Services of Fox Chase Cancer Center (Internal Medicine /DRU)
• Health Services of Fox Chase Cancer Center (Infectious Disease Associates of FCCC)

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.