KHATIFA BUNDY

Address: 2327 W Hagert St, Philadelphia, PA 19132-4246
Phone: 2677360893

KHATIFA BUNDY (NPI# 1659987907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659987907
Entity Type Individual
Full Name KHATIFA BUNDY
Practice Address 2327 W Hagert St
Philadelphia
PA 19132-4246
Practice Telephone 2677360893
Mailing Telephone 2677360893
Enumeration Date 2020-09-22
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse PN312123 PA Nursing Service Providers

Office Location

Street Address 2327 W HAGERT ST
City PHILADELPHIA
State PA
Zip Code 19132-4246

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1609322437 Shaakira Gillette Social Worker 2514 N. Broad St, Philadelphia, PA 19132 2016-08-31
1578017042 Education Plus, Inc. Nurse Practitioner 3217 W. Clearfield Street, Philadelphia, PA 19132 2016-08-12
1972958544 Rittenhouse Health LLC Substance Abuse Rehabilitation Facility 2321 N. Broad St, Philadelphia, PA 19132 2016-05-02
1336593458 Jamal Vann Counselor 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 2016-04-14
1487027132 Jazzmin Devine Specialist/Technologist 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 2015-11-03
1609282508 Lawrence Petitfrere Pharmacist 2801 W Dauphin St, Philadelphia, PA 19132 2014-07-11
1437565157 Mental Health Partnerships Community/Behavioral Health 2709 N. Broad Street, Philadelphia, PA 19132 2014-07-02
1477977346 Randy Morman Counselor 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 2014-02-12
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457967903 Assanatu Monorma Bah Licensed Practical Nurse 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 2020-09-21
1376159988 Sierra Alexis Gadson Licensed Practical Nurse 2151 Knorr St, Philadelphia, PA 19149-2307 2020-09-18
1285246751 Anisha Streeter Licensed Practical Nurse 152 Rosemar St, Philadelphia, PA 19120-1943 2020-08-17
1194333708 Stella Boapiah Licensed Practical Nurse 8767 Cottage St, Philadelphia, PA 19136-2123 2020-07-20
1083222178 France Dhaiti Licensed Practical Nurse 624 Adams Ave, Philadelphia, PA 19120-2112 2020-07-15
1831716810 Elizabeth Nija Bates Licensed Practical Nurse 6020 N 19th St, Philadelphia, PA 19141-1316 2020-06-25
1730715947 Danyelle Alston-Johnson Licensed Practical Nurse 915 Flanders Rd, Philadelphia, PA 19151-3011 2020-03-19
1760018220 Daneyah Boyer Licensed Practical Nurse 2015 W Godfrey Ave, Philadelphia, PA 19138-3035 2020-03-17
1326674805 Deajah Burney-Wright Licensed Practical Nurse 3146 N Hemberger St, Philadelphia, PA 19132-1432 2020-03-17
1699301226 Celestine Bowman Licensed Practical Nurse 6250 Everett Ave, Philadelphia, PA 19149-2803 2020-03-16
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Competitor

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City PHILADELPHIA
Zip Code 19132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.