A Fulfilling Life

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

Legal business name

A FULFILLING LIFE

Practice address

3000 W Master St Apt 408
Philadelphia, PA 19121-4416

Phone

(215) 416-8664

NPI assigned

Mar 19, 2026

Last updated

Mar 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenya Kenyatta Reed, MS

Title

Ceo

Phone

(215) 416-8664

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1396693909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W MASTER ST APT 408",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214416",
            "telephone_number": "215-416-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W MASTER ST APT 408",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214416",
            "telephone_number": "215-416-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FULFILLING LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "KENYATTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-416-8664",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.