Individual provider Active NPI

Yahaya Ehigie Enakhimion, MSN, CRNP, FNP-C

  • Family Health Clinical Nurse Specialist
  • Philadelphia, PA
National Provider Identifier
1770940827
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
SP015846 Issued in PA
Practice address
2600 Southampton Rd
Philadelphia, PA 19116-1527
Phone
(215) 287-7260
Fax
(215) 550-5101
NPI assigned
Jan 20, 2016
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0011628 DE
Primary Care Nurse Practitioner 363LP2300X SP015846 PA
Family Health Clinical Nurse Specialist 364SF0001X SP015846 PA Primary

Addresses

Primary practice location

2600 Southampton Rd
Philadelphia, PA 19116-1527

Mailing address

312 Memorial Park Dr
Springfield, PA 19064-1714
Phone (215) 287-7260

Other practice location 1

Brookdale
6677 Lancaster Pike
Hockessin, DE 19707
Phone (215) 287-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520000114 PA Practitioner - Nurse Practitioner 1254620883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Philadelphia Health Action IncGroup PAC ID 9537064977, shared by 12 NPIs, 70 clinicians

Practice addresses (Care Compare)

5000 Woodland Ave
Philadelphia, PA 19143-5137
Phone (215) 726-9807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015846PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc CurrentSince Jun 10, 2023 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Jun 10, 2023 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Interoperability endpoints

  • Direct secure messaging: yahaya.enakhimionfnp.p1@direct.gpha.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1770940827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MEMORIAL PARK DR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641714",
            "telephone_number": "215-287-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOUTHAMPTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161527",
            "telephone_number": "215-287-7260",
            "fax_number": "215-550-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Brookdale",
            "address_2": "6677 Lancaster Pike",
            "address_purpose": "LOCATION",
            "city": "Hockessin",
            "state": "DE",
            "postal_code": "19707",
            "country_code": "US",
            "telephone_number": "215-287-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENAKHIMION",
        "first_name": "YAHAYA",
        "middle_name": "EHIGIE",
        "name_prefix": "Mr.",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011628",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP015846",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "PA",
            "license": "SP015846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.