Active NPI
Nurses United Against Covid19
- Community Health Registered Nurse
- Philadelphia, PA
National Provider Identifier
1811570112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- Legal business name
- NURSES UNITED AGAINST COVID19
- Practice address
- 3939 Warren Street
Philadelphia, PA 19104 - Phone
- (267) 254-9771
- Fax
- (215) 382-5803
- NPI assigned
- May 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Daveda June Graham, CRNP
- Title
- Chief Medical Officer
- Phone
- (267) 588-2328
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | Primary | ||
| Community Health Nurse Practitioner | 363LC1500X |
Addresses
Primary practice location
3939 Warren Street
Philadelphia, PA 19104
Mailing address
5751 Pine St
Philadelphia, PA 19143-1215
Phone (267) 254-9771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP016107 | Other | PA | CRNP LISENCE |
National Provider Directory
National Provider DirectoryLocations
3939 Warren St
Philadelphia, PA 19104
Phone (215) 382-7560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Pittsburgh, PA
- NPI 1285078287
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1811570112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5751 PINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431215",
"telephone_number": "267-254-9771",
"fax_number": "215-382-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 WARREN STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "267-254-9771",
"fax_number": "215-382-5803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSES UNITED AGAINST COVID19",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-04",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "DAVEDA",
"authorized_official_middle_name": "JUNE",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "267-588-2328",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNP LISENCE",
"identifier": "SP016107",
"state": "PA"
}
],
"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 Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.