MRS. JENNIFER MARIE FAY DAMITSIAN (NPI# 1609939255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609939255 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE FAY DAMITSIAN |
| Credential | NP |
| Practice Address |
1701 Renaissance Blvd Ste 110 Edmond OK 73013-3084 |
| Practice Telephone | 4058444978 |
| Practice Fax Number | 4058440562 |
| Mailing Telephone | 4058444978 |
| Mailing Fax Number | 4058440562 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN273719 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 RENAISSANCE BLVD STE 110 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044015 | Rick D Beller | Orthopaedic Surgery | 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013-3084 | 2005-09-20 |
| 1578069407 | Shawna Diane Seelbach | Nurse Practitioner | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2018-03-31 |
| 1700248101 | Emily John | Physician Assistant | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2016-03-24 |
| 1225498603 | Brian Shawn Mccullough | Pharmacist | 1701 Renaissance Blvd, Ste. 120, Edmond, OK 73013-3086 | 2016-02-29 |
| 1023488913 | Sheril Mathew | Clinical Nurse Specialist | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2015-10-05 |
| 1710124391 | Sara Parr | Physician Assistant | 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3086 | 2009-01-19 |
| 1861535908 | Linda Ann Zacharias | Internal Medicine | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2007-02-15 |
| 1174558738 | Sharon P Bolton | Physician Assistant | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3086 | 2006-07-12 |
| 1043288673 | Craig W Carson | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3084 | 2006-03-09 |
| 1215905971 | Ana Kumar | Internal Medicine | 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1568069185 | Ancie Madden | Nurse Practitioner | 153 Ledgemont Dr, Edmond, OK 73013-1693 | 2020-10-06 |
| 1932712973 | Katrina Michelle Todd | Nurse Practitioner | 3908 Lakeshire Ridge Ct, Edmond, OK 73034-1049 | 2020-08-28 |
| 1215554662 | Emily Kathyrn Cockrell | Nurse Practitioner | 133 Kimberly Dr, Edmond, OK 73003-2376 | 2020-07-01 |
| 1982226361 | Covid Busters, LLP | Nurse Practitioner | 1632 Camden Way, Edmond, OK 73013-2939 | 2020-05-08 |
| 1235759291 | Sara Elizabeth Lacy-antonelli | Nurse Practitioner | 311 S Rankin St, Edmond, OK 73034-5345 | 2020-04-20 |
| 1528608551 | Stacey Lynn Lowery | Nurse Practitioner | 16212 Scissortail Dr, Edmond, OK 73013-9422 | 2020-01-07 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1700447356 | Jeana Backus | Nurse Practitioner | 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013-8558 | 2019-06-25 |
| 1366001315 | Kara Nicole De La Pena | Nurse Practitioner | 1501 N Midwest Blvd, Edmond, OK 73034-8412 | 2019-06-12 |
| Find all providers in EDMOND | ||||
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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.