JACQUELINE EDWARDS (NPI# 1295285773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295285773 |
| Entity Type | Individual |
| Full Name | JACQUELINE EDWARDS |
| Practice Address |
701 Ostrum St Suite 201 Fountain Hill PA 18015-1155 |
| Practice Telephone | 4845266545 |
| Practice Fax Number | 4845266546 |
| Mailing Telephone | 4845266545 |
| Mailing Fax Number | 4845266546 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA058708 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1487918595 | Jacqueline Edwards | Psychologist | 370 Casa Norte Dr Unit 2064, North Las Vegas, NV 89031-3344 | 2012-07-03 |
| 1336306760 | Jacqueline Marie Edwards | Licensed Practical Nurse | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2008-05-22 |
| 1033239793 | Jacqueline Edwards | Rehabilitation Practitioner | 456 Elm Ave, Long Beach, CA 90802-2426 | 2007-03-29 |
| Street Address |
701 OSTRUM ST SUITE 201 |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869710 | Robert S Gayner | Internal Medicine | 701 Ostrum St, Suite 602, Fountain Hill, PA 18015-1155 | 2005-05-23 |
| 1417571720 | Daniel George Franey | Surgery | 701 Ostrum St, Fountain Hill, PA 18015-1155 | 2020-06-02 |
| 1295359594 | Anthony Patrick Allsbrook | Surgery | 701 Ostrum St, Fountain Hill, PA 18015-1155 | 2020-06-02 |
| 1346782182 | Robbie S Hicks | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-11-10 |
| 1265983522 | Alexandra Therese Heavilon | Physician Assistant | 701 Ostrum St, Suite 403, Fountain Hill, PA 18015-1155 | 2016-10-20 |
| 1144693284 | Ellyn Yackanicz | Physician Assistant | 701 Ostrum St, Suite 603, Fountain Hill, PA 18015-1155 | 2015-11-12 |
| 1528430931 | Hayley Rose Stauffer | Physician Assistant | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2015-10-25 |
| 1063880961 | Faith Burns | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2015-09-09 |
| 1003218777 | Breanna Little | Physician Assistant | 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1155 | 2014-09-24 |
| 1174922215 | Suzanne Wary | Registered Nurse | 701 Ostrum St, Suite 202, Fountain Hill, PA 18015-1155 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| 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 |
|---|---|---|---|---|
| 1659335453 | David R Renner | Physician Assistant | 800 Ostrum St, Ste 202, Fountain Hill, PA 18015-1015 | 2006-04-17 |
| 1326682816 | Megan Hirschel | Physician Assistant | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2019-10-29 |
| 1063055689 | Eilene Anderson | Physician Assistant | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2019-10-27 |
| 1518435411 | Tyler P Gallagher | Physician Assistant | 701 Ostrum St Ste 302, Fountain Hill, PA 18015-1152 | 2018-11-08 |
| 1760967269 | Winnie J Ouma | Physician Assistant | 701 Ostrum St Ste 302, Fountain Hill, PA 18015-1152 | 2018-10-01 |
| 1316495443 | Lauren L Knipe | Physician Assistant | 701 Ostrum St Ste 504, Fountain Hill, PA 18015-1153 | 2016-09-19 |
| 1891169397 | Jocelyn Jarick | Physician Assistant | 709 Delaware Ave, Fountain Hill, PA 18015-1107 | 2015-11-20 |
| 1003218777 | Breanna Little | Physician Assistant | 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1155 | 2014-09-24 |
| 1033525282 | Kallie M Bashor | Physician Assistant | 830 Ostrum St, Fountain Hill, PA 18015-1013 | 2014-07-09 |
| 1275881807 | Giuseppina Biundo | Physician Assistant | 701 Ostrum St, Suite #302, Fountain Hill, PA 18015-1155 | 2012-08-29 |
| Find all providers in FOUNTAIN HILL | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
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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.