Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deep Roots Charter School

Organization School Nurse Practitioner · NPI 1245020254

Deep Roots Charter School is a School Nurse Practitioner in Philadelphia, Pennsylvania. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

900 Lindley Ave
Philadelphia, PA 19141-3920
Phone: (267) 324-5707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5070 Parkside Ave Ste 6200, Philadelphia, PA 19131-4750 — (267) 939-5876
  • 3556 Frankford Ave, Philadelphia, PA 19134-2118 — (267) 324-5707

Specialties & licences

School Nurse Practitioner (primary) Taxonomy 363LS0200X

Record details

NPI number1245020254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keanna Austin — Dorcm · (267) 324-5707
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address100 W Oxford St, Philadelphia, PA 19122-3927

Other providers in Philadelphia