DEEP ROOTS CHARTER SCHOOL
NPI 1245020254
Nurse Practitioner - School in Philadelphia, PA

Active since May 12, 2025
900 LINDLEY AVE, PHILADELPHIA, PA 19141(267) 324-5707 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • School

About DEEP ROOTS CHARTER SCHOOL

This page provides the complete NPI Profile along with additional information for Deep Roots Charter School, a provider established in Philadelphia, Pennsylvania operating as a Nurse Practitioner, focusing in school . The healthcare provider is registered in the NPI registry with number 1245020254 assigned on May 2025. The practitioner's primary taxonomy code is 363LS0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Keanna Austin (Dorcm)

NPI
1245020254 Verify this NPI
Provider Name
DEEP ROOTS CHARTER SCHOOL
Entity Type
Organization
Location Address
900 LINDLEY AVE PHILADELPHIA, PA 19141
Location Phone
(267) 324-5707
Mailing Address
100 W OXFORD ST PHILADELPHIA, PA 19122
Mailing Phone
(267) 324-5707
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2025
Last Update Date
05-12-2025
Code Navigator

A nurse practitioner (NP) like Deep Roots Charter School is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 3556 Frankford Ave
    Philadelphia, PA 19134
    (267) 324-5707
  • 5070 Parkside Ave Ste 6200
    Philadelphia, PA 19131
    (267) 939-5876

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner School

Taxonomy Code
363LS0200X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEANNA AUSTIN

Authorized Official Title
DORCM
Authorized Official Phone
(267) 324-5707

Reviews for DEEP ROOTS CHARTER SCHOOL

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Local Education Agency (LEA)
900 LINDLEY AVE
PHILADELPHIA, PA 19141
Community/Behavioral Health
900 LINDLEY AVE
PHILADELPHIA, PA 19141
Nurse Practitioner
900 LINDLEY AVE
PHILADELPHIA, PA 19141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245020254, enumerated as an "organization" on May 12, 2025.

The provider is located at 900 LINDLEY AVE PHILADELPHIA, PA 19141 and the phone number is (267) 324-5707.

Nurse Practitioner with taxonomy code 363LS0200X and a focus in School.