Active NPI
Jennifer My Dinh, CPNP
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1376940056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP014484
- Practice address
- 8556 Bustleton Ave
Philadelphia, PA 19152-1218 - Phone
- (215) 698-9200
- NPI assigned
- Nov 25, 2014
- Last updated
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP014484 | PA | |
| Pediatric Nurse Practitioner | 363LP0200X | SP014484 | PA | Primary |
Addresses
Primary practice location
8556 Bustleton Ave
Philadelphia, PA 19152-1218
Mailing address
101 E Olney Ave
Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Interoperability endpoints
- jennifer.dinh@direct.einstein.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1376940056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E OLNEY AVE",
"address_2": "STE 400",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202470",
"telephone_number": "215-456-1825",
"fax_number": "215-456-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8556 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521218",
"telephone_number": "215-698-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "JENNIFER",
"middle_name": "MY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP014484",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP014484",
"primary": true
}
],
"identifiers": [],
"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 Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.