OrganizationActive
Deep Roots Charter School
NPI 1245020254 · School Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1245020254
- Entity type
- Organization
- Primary specialty
- School Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Keanna Austin, Dorcm(267) 324-5707
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 Lindley Ave
Philadelphia, PA 19141-3920
Phone: (267) 324-5707
Approximate (ZIP-level) locationGet directions
Mailing address
100 W Oxford St
Philadelphia, PA 19122-3927
Additional practice locations (2)
- 3556 Frankford AvePhiladelphia, PA 19134-2118Phone: (267) 324-5707
- 5070 Parkside Ave Ste 6200Philadelphia, PA 19131-4750Phone: (267) 939-5876
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.