NPIMap

Organization Active NPI

Health Promotion Council of Southeastern Pennsylvania, Inc.

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1407279581
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
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) 731-6150
Fax
(215) 731-6199
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 Quality Operations
Phone
(267) 765-2334

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Metabolic Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1006X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

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

Mailing address

1500 Market St
Centre Square East
Philadelphia, PA 19102-2100
Phone (215) 731-6150

Other names 1

  • Health Promotion Council Other name

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": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1407279581",
    "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": "215-731-6150",
            "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": "215-731-6150",
            "fax_number": "215-731-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PROMOTION COUNCIL OF SOUTHEASTERN PENNSYLVANIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2020-12-15",
        "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 QUALITY OPERATIONS",
        "authorized_official_telephone_number": "267-765-2334"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Promotion Council",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Health Promotion Council",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 15, 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.

Verify at the official NPI Registry.