JENNIFER J NIX (NPI# 1093341273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093341273 |
| Entity Type | Individual |
| Full Name | JENNIFER J NIX |
| Other Name | JENNIFER J GOODBAR |
| Credential | CRNP |
| Practice Address |
3120 Highland Rd Hermitage PA 16148-4512 |
| Practice Telephone | 7243422663 |
| Practice Fax Number | 7243426247 |
| Mailing Telephone | 7243422663 |
| Mailing Fax Number | 7243426247 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP021384 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Medical Office Building, 647 North Broad St. Ext., Suite 201, Grove City, PA 16127 | 7244501113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558789768 | Jennifer Lyn Nix | Counselor | 1301 7th St E, Saint Paul, MN 55106-4039 | 2014-04-03 |
| 1992259840 | Jennifer Nix | Counselor | 1116 Summit Ave, Seattle, WA 98101-2831 | 2016-08-09 |
| 1225464217 | Jennifer Elyse Nix | Physician Assistant | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2013-09-23 |
| 1780947788 | Jennifer Nix | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2012-06-25 |
| 1154445328 | Jennifer Nix | Speech-Language Pathologist | 55 Ascot Ln, Aurora, IL 60504-3220 | 2007-03-16 |
| Street Address |
3120 HIGHLAND RD |
| City | HERMITAGE |
| State | PA |
| Zip Code | 16148-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588063 | Robert Walter Piston | Orthopaedic Surgery | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2005-06-15 |
| 1265045306 | Angela G Cobucci | Physician Assistant | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2020-08-28 |
| 1366075541 | Alysandra L Andrusky | Physician Assistant | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2020-02-17 |
| 1295205540 | Paige M Saadeh | Nurse Practitioner | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2018-11-29 |
| 1407361751 | Cierra R Vandevort | Physician Assistant | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2017-12-08 |
| 1063968253 | Andrew P Figan | Physician Assistant | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2016-08-29 |
| 1811376320 | Anastasia J Lapikas | Physician Assistant | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2015-05-29 |
| 1598011132 | Michelle L Lechner | Physical Therapist | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2012-08-01 |
| 1639454275 | Matthew E Vinca | Occupational Therapist | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2011-10-14 |
| 1952596876 | Andrew D. Klugh | Physician Assistant | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571165 | Cassandra L Holder | Physical Therapist | 1559 N. Hermitage Rd, Hermitage, PA 16148 | 2020-09-01 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1336791318 | Catlyn Marie Joseph | Pharmacist | 1851 East State St, Rite Aid Store #10995, Hermitage, PA 16148 | 2019-07-10 |
| 1386203107 | Kaitlyn Mostard-smith | Physical Therapist | 1599 N. Hermitage Rd., Hermitage, PA 16148 | 2019-06-06 |
| 1770001513 | Lee Ann Hougelman | Licensed Practical Nurse | 5454 E. State St., Hermitage, PA 16148 | 2017-08-31 |
| 1194245001 | Samantha C Kilar | Audiologist | 1623 Dutch Lane, Hermitage, PA 16148 | 2017-06-21 |
| 1538419197 | Sharon Lynn Taylor | Physician Assistant | 480 N Kerrwood Dr Ste 103, Hermitage, PA 16148 | 2012-09-11 |
| 1912289638 | Amanda Jo Kline | Physical Therapy Assistant | 260 S Buhl Farm Drive, Whispering Oaks Suite 326, Hermitage, PA 16148 | 2011-09-20 |
| 1447548573 | Robert Joseph Jackson | Licensed Practical Nurse | 5454 East State St, Hermitage, PA 16148 | 2011-07-11 |
| 1386974673 | Susan Dawn Mehallick | Specialist/Technologist | 1005 Campus Circle, Hermitage, PA 16148 | 2010-01-08 |
| Find all providers in zip 16148 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295205540 | Paige M Saadeh | Nurse Practitioner | 3120 Highland Rd, Hermitage, PA 16148-4512 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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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.