A Fulfilling Life
NPI 1396693909ActiveOrganization· Registered Nurse, General Practice· Philadelphia, PA
Registered Nurse, General Practice in Philadelphia, Pennsylvania, registered in NPPES in March 2026. The authorized official on file is Kenya Kenyatta Reed, MS, Ceo.
Overview
| NPI | 1396693909 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2026 |
| Last updated in NPPES | Mar 19, 2026 |
| Certified by provider | Mar 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | — | — |
| Licensed Practical Nurse | 164W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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