MRS. JAMIE LYNN FAIRLEY (NPI# 1386913739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386913739 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE LYNN FAIRLEY |
| Other Name | MISS JAMIE LYNN SERENKO |
| Credential | PA-C |
| Practice Address |
325 New Castle Rd C/o Hbpc Butler PA 16001-2418 |
| Practice Telephone | 8003628262 |
| Mailing Telephone | 8003628262 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
50.003370 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA002752 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
325 NEW CASTLE RD C/O HBPC |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786374 | Mary Jane Niebauer | Psychologist | 325 New Castle Rd, Butler, PA 16001-2418 | 2005-08-09 |
| 1184109423 | Daniel Evan Fitzgerald | Pharmacist | 325 New Castle Rd, Butler, PA 16001-2418 | 2018-10-02 |
| 1881176576 | Butler Vamc | General Acute Care Hospital | 325 New Castle Rd, Butler, PA 16001-2418 | 2018-08-30 |
| 1659881068 | Samar Youssef Eid | Nurse Practitioner | 325 New Castle Rd, Butler, PA 16001 | 2017-10-11 |
| 1184144735 | Amber Marie Portik | Social Worker | 325 New Castle Rd, Butler, PA 16001-2418 | 2017-06-25 |
| 1861942310 | Caroline Michele Ciliberti | Psychologist | 325 New Castle Rd, Butler, PA 16001-2418 | 2016-10-08 |
| 1609223528 | The Care Center | Community Based Residential Treatment Facility, Mental Illness | 325 New Castle Rd, Butler, PA 16001-2418 | 2016-05-20 |
| 1295199651 | James Thompson | Social Worker | 325 New Castle Rd, Butler, PA 16001-2418 | 2016-04-11 |
| 1225402225 | Amy Jo Mershimer | Nurse Practitioner | 325 New Castle Rd, Butler, PA 16001-2418 | 2015-11-14 |
| 1629440532 | Nicole Parenti Thompson | Registered Nurse | 325 New Castle Rd, Butler, PA 16001-2418 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730368465 | Kelly A Valasek | Physician Assistant | 102 Technology Dr Ste 230, Butler, PA 16001-1784 | 2007-10-30 |
| 1619042108 | Emily Dias | Physician Assistant | 254 Moraine Pointe Plz, Butler, PA 16001-2412 | 2006-11-21 |
| 1114903093 | Paul H Abbott | Physician Assistant | 353 N Duffy Rd, Butler, PA 16001-1138 | 2005-12-21 |
| 1518943752 | Angela Como | Physician Assistant | 129 Oneida Valley Rd Ste 310, Butler, PA 16001-2252 | 2005-12-20 |
| 1659989945 | Sophia I Koury | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2020-07-22 |
| 1467011676 | Jordan Patrick Barley | Physician Assistant | 480 E Jefferson St Ste C, Butler, PA 16001-4780 | 2019-06-11 |
| 1841769213 | Kylie Laughery | Physician Assistant | 250b Butler Cmns, Butler, PA 16001-2485 | 2018-11-15 |
| 1588174437 | Rachel Gabrielle Scully | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2017-10-05 |
| 1184166787 | Blaine Jeffrey Sinz | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2016-11-14 |
| 1275905606 | Tyler Jacob Brady | Physician Assistant | 1 Hospital Way, Butler, PA 16001-4670 | 2015-10-26 |
| Find all providers in BUTLER | ||||
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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.