MEMPHIS STREET ACADEMY CHARTER SCHOOL
NPI 1588040117
Nurse Practitioner - Pediatrics in Philadelphia, PA

Q: What is Memphis Street Academy Charter School's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 05, 2015

2950 MEMPHIS ST, PHILADELPHIA, PA 19134(215) 291-4709(215) 291-4754 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Memphis Street Academy Charter School NPPES

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

MEMPHIS STREET ACADEMY CHARTER SCHOOL (NPI 1588040117) is a healthcare organization registered as a pediatrics in Philadelphia, Pennsylvania and active in the NPI registry since August 2015. The organization lists Julie Emig, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588040117

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NameMEMPHIS STREET ACADEMY CHARTER SCHOOL

Location Address2950 MEMPHIS STPhiladelphia, PA 19134-4314

Mailing Address970 Sproul RdBryn Mawr, PA 19010-2026

Phone(215) 291-4709

Fax(215) 291-4754

Organization SubpartNo

Authorized OfficialJulie EmigExecutive Director · (215) 687-6286

Enumeration DateAugust 5, 2015

✔ NPI 1588040117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

2950 MEMPHIS ST, Philadelphia, PA 19134

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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

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 Memphis Street Academy Charter School's NPI number?

The NPI number for Memphis Street Academy Charter School is 1588040117. It was assigned to this organization in the NPPES registry on August 5, 2015.

Where is Memphis Street Academy Charter School located?

Memphis Street Academy Charter School is located at 2950 Memphis St, Philadelphia, PA 19134. The listed phone number is (215) 291-4709.

What is Memphis Street Academy Charter School's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Memphis Street Academy Charter School was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.