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CORETHA SMITH-JOHNSON MASTER PUBLIC HEALTH
NPI 1528817004
Nursing Home Administrator in Philadelphia, PA

Active since May 16, 2024
6603 SOUDER ST, PHILADELPHIA, PA 19149(215) 280-0867 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coretha Smith-johnson Master Public Health NPPES

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

CORETHA SMITH-JOHNSON MASTER PUBLIC HEALTH (NPI 1528817004) is an individual nursing home administrator provider in Philadelphia, Pennsylvania and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1528817004
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameCORETHA SMITH-JOHNSONCredential: MASTER PUBLIC HEALTH
Location Address6603 SOUDER STPhiladelphia, PA 19149-2207
Mailing Address6416 Lawnton AvePhiladelphia, PA 19126-3742 · (215) 280-0867
Phone(215) 280-0867
Sole ProprietorNo
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1528817004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
6603 SOUDER ST, Philadelphia, PA 19149
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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 Coretha Smith-johnson's NPI number?

The NPI number for Coretha Smith-johnson is 1528817004. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Coretha Smith-johnson located?

Coretha Smith-johnson practices at 6603 Souder St, Philadelphia, PA 19149. The listed phone number is (215) 280-0867.

What is Coretha Smith-johnson's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Coretha Smith-johnson was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.