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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: August 16, 2026.

About Deep Roots Charter School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEP ROOTS CHARTER SCHOOL (NPI 1245020254) is a healthcare organization registered as a school in Philadelphia, Pennsylvania and active in the NPI registry since May 2025. The organization maintains 2 additional practice locations and lists Keanna Austin, Dorcm, as its authorized official.

NPPES Registry Identity

NPI1245020254
Entity TypeOrganization
Primary Taxonomy363LS0200X
Legal Business NameDEEP ROOTS CHARTER SCHOOL
Location Address900 LINDLEY AVEPhiladelphia, PA 19141-3920
Mailing Address100 W Oxford StPhiladelphia, PA 19122-3927 · (267) 324-5707
Phone(267) 324-5707
Organization SubpartNo
Authorized OfficialKeanna AustinDorcm · (267) 324-5707
Enumeration DateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1245020254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LS0200X
900 LINDLEY AVE, Philadelphia, PA 19141
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Secondary Practice Locations 2

Location 13556 Frankford AvePhiladelphia, PA 19134-2118 · Phone (267) 324-5707
Location 25070 Parkside Ave Ste 6200Philadelphia, PA 19131-4750 · Phone (267) 939-5876

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD COLEMAN
Community/Behavioral Health
900 LINDLEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 487-0904
GENERAL DAVID B. BIRNEY CHARTER SCHOOL
Local Education Agency (LEA)
900 LINDLEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3000
EDUCATION PLUS, INC
Nurse Practitioner
900 LINDLEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (267) 324-5707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deep Roots Charter School's NPI number?

The NPI number for Deep Roots Charter School is 1245020254. It was assigned to this organization in the NPPES registry on May 12, 2025.

Where is Deep Roots Charter School located?

Deep Roots Charter School is located at 900 Lindley Ave, Philadelphia, PA 19141. The listed phone number is (267) 324-5707.

What is Deep Roots Charter School's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

When was this NPI record last updated?

The NPPES record for Deep Roots Charter School was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.