NPIMap

Organization Active NPI

Creighton Charter School

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1912307307
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
CREIGHTON CHARTER SCHOOL
Practice address
5401 Tabor Ave
Philadelphia, PA 19120-2130
Phone
(215) 537-2531
NPI assigned
Sep 4, 2014
Organization subpart
Yes
Parent organization
EDUCATION PLUS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Julie Cousler-Emig
Title
Owner
Phone
(215) 687-6286

Specialties & licenses 1

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

Addresses

Primary practice location

5401 Tabor Ave
Philadelphia, PA 19120-2130

Mailing address

970 Sproul Rd
Bryn Mawr, PA 19010-2026
Phone (215) 684-6286

National Provider Directory

National Provider Directory
Tax ID family
La Salle Academy18 organizations share this tax ID, including this one
Part of
La Salle Academy

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1912307307",
    "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",
            "telephone_number": "215-684-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 TABOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202130",
            "telephone_number": "215-537-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON CHARTER SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDUCATION PLUS, INC",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "COUSLER-EMIG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "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 Sep 4, 2014; 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.