MRS. JENNA PETRICK (NPI# 1710283502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710283502 |
| Entity Type | Individual |
| Full Name | MRS. JENNA PETRICK |
| Other Name | MISS JENNA PETRICK |
| Practice Address |
190 Bonar Ave Waynesburg PA 15370-1604 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7246278156 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | VALUE BEHAVIORAL HEALTH | 328834A336348 | 01 |
| Street Address |
190 BONAR AVE |
| City | WAYNESBURG |
| State | PA |
| Zip Code | 15370-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867969 | Linda C Kovach | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2005-11-04 |
| 1790234706 | Kristy Borovichka | Counselor | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2016-10-03 |
| 1194150045 | Darcie Lynn Coen | Counselor | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2013-09-11 |
| 1821357187 | Megan Mcklveen | Technician, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-05-08 |
| 1538432166 | Tricia Tokish | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
| 1548533185 | Krista Porter | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
| 1801045489 | Joseph Leroy Burgess | Case Manager/Care Coordinator | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-09-18 |
| 1992960223 | Lisa A Huffine | Specialist | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-07-25 |
| 1679748594 | Centerville Clinics, Inc. Psy | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-04-23 |
| 1588832711 | Centerville Clinics, Inc. | Specialist | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040830 | Meghan Murphy-bedilion | Dietitian, Registered | 417 Bill George Drive, Waynesburg, PA 15370 | 2020-03-29 |
| 1518443209 | Centerville Clinics Inc | Social Worker | West Greene Elementary, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-16 |
| 1639655673 | Centerville Clinics Inc | Social Worker | West Greene Middle/senior Hs, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-12 |
| 1124555370 | Rebekah Barbara Matta | Specialist/Technologist | 51 West College St., Waynesburg, PA 15370 | 2017-05-18 |
| 1720461411 | Jessica Burnsworth | Counselor | 95 East High Stree, Suite 342, Waynesburg, PA 15370 | 2015-06-30 |
| 1174824411 | Srmc Healthcare Group, LLC | Podiatrist | 236 Elm Drive, Suite 104, Waynesburg, PA 15370 | 2010-11-03 |
| 1447551783 | Srmc Healthcare Group, LLC | Family Medicine | 1150 7th Street, Waynesburg, PA 15370 | 2010-11-03 |
| 1154656957 | Mikee L. Krieg | Counselor | 95 East High Street, Suite 407, Waynesburg, PA 15370 | 2009-10-12 |
| 1578896106 | Sue-ann R Woods | Occupational Therapist | 160 Greene Plaza, Waynesburg, PA 15370 | 2009-09-15 |
| 1720285026 | United Cerebral Palsy of Swpa, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 140 South Oakview Drive, Waynesburg, PA 15370 | 2007-06-29 |
| Find all providers in zip 15370 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538432166 | Tricia Tokish | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
| 1548533185 | Krista Porter | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
| 1134337579 | Lori L Zellie | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379879 | Oncora Medical, Inc. | Specialist/Technologist, Other | 2104 Market St Ste 300, Philadelphia, PA 19103-3103 | 2020-06-02 |
| 1730700527 | Andrea Beth Morrison | Specialist/Technologist, Other | 500 Charles Ellis Dr Apt 405, Newtown Square, PA 19073-1325 | 2020-05-03 |
| 1518449719 | Tonya Milburn | Specialist/Technologist, Other | 4611 Tackawanna St, Philadelphia, PA 19124-3307 | 2018-09-04 |
| 1699294611 | Fce Consulting, LLC | Specialist/Technologist, Other | 2208 Quarry Dr Ste 203, West Lawn, PA 19609-1158 | 2017-09-11 |
| 1063937381 | Premier Fce | Specialist/Technologist, Other | 2201 Ridgewood Rd Ste 160, Wyomissing, PA 19610-1190 | 2017-08-08 |
| 1215463278 | Kaitlyn Lawrence | Specialist/Technologist, Other | 5776 Limeport Rd, Emmaus, PA 18049-4651 | 2017-05-11 |
| 1780030528 | Melinda Marie Huey | Specialist/Technologist, Other | 420 Buena Vis, Emlenton, PA 16373-9702 | 2016-05-11 |
| 1700240470 | Thor Mataya | Specialist/Technologist, Other | 2612 Linconia Ave, Trevose, PA 19053-6736 | 2016-04-08 |
| 1548663685 | Maria B Rossi | Specialist/Technologist, Other | 1070 Old National Pike # D, Fredericktown, PA 15333-2114 | 2014-10-03 |
| 1659612273 | Andrew George Bukovitz | Specialist/Technologist, Other | University Drive C Vaphs Room Bw207, Pittsburgh, PA 15240 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBURG |
| Zip Code | 15370 |
Please comment or provide details below to improve the information on MRS. JENNA PETRICK.
| 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.