Nurse Vax Philly LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

NURSE VAX PHILLY LLC

Practice address

7153 Torresdale Avenue
1St Floor
Philadelphia, PA 19135

Phone

(215) 701-3970

Fax

(215) 703-6945

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Robtrina Ferebee, RNNPI 1467822148

Title

Owner

Phone

(215) 701-3970

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Robtrina Ferebee

  • Certified Registered Nurse Anesthetist
  • Binghamton, NY
  • NPI 1467822148
  NPD Authorized official

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1366187569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 TORRESDALE AVENUE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19135",
            "telephone_number": "215-701-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7153 TORRESDALE AVENUE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19135",
            "telephone_number": "215-701-3970",
            "fax_number": "215-703-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE VAX PHILLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "FEREBEE",
        "authorized_official_first_name": "ROBTRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-701-3970",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rferebee@nursevaxphilly.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "7153 Torresdale Avenue",
            "address_2": "1st Floor",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nursing Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nursing Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.