JENNA MICHELLE VAN DYCK (NPI# 1053928044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053928044 |
| Entity Type | Individual |
| Full Name | JENNA MICHELLE VAN DYCK |
| Credential | PA-C |
| Practice Address |
150 Main St Chester CT 06412-1340 |
| Mailing Address |
702 Pleasant Valley Rd N Apt 315 Groton CT 06340-2557 |
| Practice Telephone | 8603585005 |
| Practice Fax Number | 8603588651 |
| Mailing Telephone | 7037728641 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1170894 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 MAIN ST |
| City | CHESTER |
| State | CT |
| Zip Code | 06412-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396930491 | Rosemarie G Cole | Nurse Practitioner | 150 Main St, Chester, CT 06412-1340 | 2007-09-11 |
| 1962626630 | Mhs Primary Care, Inc | Nurse Practitioner | 150 Main St, Chester, CT 06412-1340 | 2007-04-12 |
| 1740390103 | Deirdre Pagan | Nurse Practitioner | 150 Main St, Chester, CT 06412-1340 | 2006-08-30 |
| 1003844465 | John G Meisel | Family Medicine | 150 Main St, Chester, CT 06412-1340 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184866618 | Donald Dean Yousey | Occupational Therapist | 3 South Wig Hill Rd., Chester, CT 06412 | 2009-03-30 |
| 1598834152 | Elizabeth Madeline Bird | Pediatrics | 20 Water St, Chester, CT 06412 | 2006-11-07 |
| 1639660194 | River Valley Pediatrics and Adolescent Medicine | Clinic/Center | 20 Water St, Chester, CT 06412 | 2018-05-21 |
| 1972996049 | Pamela Lape | Psychologist | 15 North Main Street, Reflections of Chester, Chester, CT 06412 | 2015-03-12 |
| 1316960818 | Andrea Dingman Kosack | Physician Assistant | 20 York Street, Ynhh Nbscu, New Haven, CT 06412 | 2006-07-25 |
| 1508985672 | Christopher J Kearns | Dentist | 4 Water St, Chester, CT 06412-0510 | 2007-03-28 |
| 1710243738 | Regina Marie Walsh | Counselor | 15 North Main Street, Chester, CT 06412-0641 | 2012-04-03 |
| 1861925208 | Samantha Elsa Grass | Behavioral Analyst | 89 Cedar Lake Rd, Chester, CT 06412-1008 | 2017-04-04 |
| 1306246640 | Oliver Winter | Internal Medicine | 61 Winthrop Rd, Chester, CT 06412-1036 | 2014-08-22 |
| 1922424084 | Hemanth Yalavarthy | Physical Therapist | 317 W Main St, Chester, CT 06412-1057 | 2014-03-13 |
| Find all providers in zip 06412 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689147381 | Alexandra Kubitz | Physician Assistant | 1 Medical Center Blvd Ste 232533, Chester, PA 19013-3902 | 2019-01-04 |
| 1609376086 | Sheila Hautbois | Physician Assistant | 228 Johnson Creek Dr., Chester, VA 23836 | 2018-02-13 |
| 1841709730 | Megan Shea Dyson | Physician Assistant | 1630 Main St Ste 108, Chester, MD 21619-2792 | 2017-09-25 |
| 1023447042 | Harry Joseph Guarino | Physician Assistant | 1 Medical Center Blvd Ste 326, Chester, PA 19013-3902 | 2013-11-12 |
| 1942367818 | Ginger L Spronk | Physician Assistant | 310 State Route 24, Suite B-1a, Chester, NJ 07930-2625 | 2007-01-02 |
| 1871663377 | Gilian Frances Thompson | Physician Assistant | 14506 Sulphur Springs Ter, Chester, VA 23836-2778 | 2006-11-09 |
| 1063468015 | Patrick T Armstrong | Physician Assistant | 418 West Monroe, Chester, MT 59522 | 2006-05-25 |
| 1194720417 | James Thomas Frizzelle Jr. | Physician Assistant | 13038 Rivers Bend Rd, Chester, VA 23836-2564 | 2005-06-14 |
| 1558857144 | Brittany Paige Reed | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2018-07-06 |
| 1245749381 | Jasmine Rodriguez | Physician Assistant | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2017-09-20 |
| Find all providers in CHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.