Active NPI
Denva Grace Wellington, RN, BSN
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1588057905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN615240
- Practice address
- 818 E Upsal St
Philadelphia, PA 19119-1541 - Phone
- (267) 368-5108
- Fax
- (215) 924-1264
- NPI assigned
- Mar 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN615240 | PA | Primary |
Addresses
Primary practice location
818 E Upsal St
Philadelphia, PA 19119-1541
Mailing address
818 E Upsal St
Philadelphia, PA 19119-1541
Phone (267) 368-5108
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN615240 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Home Healthcare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1841682358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1588057905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 E UPSAL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191541",
"telephone_number": "267-368-5108",
"fax_number": "215-924-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 E UPSAL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191541",
"telephone_number": "267-368-5108",
"fax_number": "215-924-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLINGTON",
"first_name": "DENVA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN615240",
"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 Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.