NPIMap

Organization Active NPI

La Salle Academy

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1659747863
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
LA SALLE ACADEMY
Practice address
1434 N 2ND St
Philadelphia, PA 19122-3802
Phone
(215) 739-5804
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Julie Emig
Title
Executive Director
Phone
(215) 687-6286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

Primary practice location

1434 N 2ND St
Philadelphia, PA 19122-3802

Mailing address

970 Sproul Rd
Bryn Mawr, PA 19010-2026

National Provider Directory

National Provider Directory
Tax ID family
Vare Charter School18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1434 N 2nd St
Philadelphia, PA 19122
Phone (215) 739-5804

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1659747863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SPROUL RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 N 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223802",
            "telephone_number": "215-739-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SALLE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "EMIG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-687-6286"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "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 Aug 12, 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.

Verify at the official NPI Registry.