Organization Active NPI

Beulah Womens Health LLC

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1679369094
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
BEULAH WOMENS HEALTH LLC
Practice address
1500 Chestnut St Ste 2
Philadelphia, PA 19102-2700
Phone
(215) 484-4152
Fax
(215) 610-5958
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Obot Grace TigahNPI 1356941157
Title
DNP, WHNP-BC
Phone
(215) 459-9480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

1500 Chestnut St Ste 2
Philadelphia, PA 19102-2700

Mailing address

1500 Chestnut St Ste 2
Philadelphia, PA 19102-2700
Phone (215) 484-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507000917 PA Part B Supplier - Clinic/Group Practice 3274050836 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

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": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1679369094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022700",
            "telephone_number": "215-484-4152",
            "fax_number": "215-610-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022700",
            "telephone_number": "215-484-4152",
            "fax_number": "215-610-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "TIGAH",
        "authorized_official_first_name": "OBOT",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "DNP, WHNP-BC",
        "authorized_official_telephone_number": "215-459-9480"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "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 Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.