MRS. JENNA DANIELLE FEDEROFF


Address: 420 E North Ave, #205, Pittsburgh, PA 15212-4746
Phone: 4123593426

MRS. JENNA DANIELLE FEDEROFF (NPI# 1629460050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629460050
Entity Type Individual
Full Name MRS. JENNA DANIELLE FEDEROFF
Credential CRNP
Practice Address 420 E North Ave
#205
Pittsburgh
PA 15212-4746
Mailing Address 107 Scottdale Dr
Pittsburgh
PA 15205-9421
Practice Telephone 4123593426
Mailing Telephone 4129748802
Enumeration Date 2015-02-23
Last Update Date 2016-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP014795 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 420 E NORTH AVE
#205
City PITTSBURGH
State PA
Zip Code 15212-4746

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1174965651 Bertram Richter Neurological Surgery 420 E North Ave, Suite 302 - Dept of Neurological Surgery, Pittsburgh, PA 15212-4746 2013-07-24
1992140768 Victoria Titoff Psychiatry & Neurology 420 E North Ave, Suite 206 Ewob, Pittsburgh, PA 15212-4746 2013-05-06
1992090872 Allegheny General Hospital General Acute Care Hospital 420 E North Ave, Suite 206, Pittsburgh, PA 15212-4746 2011-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770182347 Kimberly Marie Pacy Pharmacist 623-625 East Ohio Street, Pittsburgh, PA 15212 2020-10-23
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1558842997 Maggie Yuhas Occupational Therapist 1411 Porterfield St, Pittsburgh, PA 15212 2018-08-23
1518464932 Chloe Williams Student in an Organized Health Care Education/Training Program Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212 2018-04-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15212

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Dataset Information

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.

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