JENNIFER RAYE MYERS (NPI# 1760765945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760765945 |
| Entity Type | Individual |
| Full Name | JENNIFER RAYE MYERS |
| Credential | PAC |
| Practice Address |
7333 W Jefferson Blvd Fort Wayne IN 46804-6280 |
| Practice Telephone | 2604357334 |
| Mailing Telephone | 2604583830 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10001764A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493715 | Jennifer Myers | Home Health Aide | 2530 Circle Dr, Lima, OH 45806-1610 | 2020-09-24 |
| 1689135014 | Jennifer Myers | Physician Assistant | 304 Seaford Rd, Seaford, VA 23696-2303 | 2019-03-28 |
| 1649705229 | Jennifer Myers | Licensed Practical Nurse | 104 Moonlight Walk, 104, Holbrook, NY 11741-4923 | 2017-04-20 |
| 1659746246 | Jennifer Myers | Massage Therapist | 5038 Winterberry Dr, Doylestown, PA 18902-5002 | 2015-12-08 |
| 1467838482 | Jennifer Myers | Massage Therapist | 5603 Summitview Ave, Suite 100, Yakima, WA 98908-3015 | 2015-07-31 |
| 1366822645 | Jennifer Lee Myers | Social Worker | 3901 E. 32nd Street, Joplin, MO 64804-1509 | 2015-06-02 |
| 1104193770 | Jennifer D Myers | Massage Therapist | 1485 Commerce Park Dr, Suite B, Tipp City, OH 45371-2883 | 2011-11-25 |
| 1376864835 | Jennifer Marie Myers | Pharmacist | 528 W Plank Rd, Altoona, PA 16602-2802 | 2010-06-18 |
| 1376780221 | Jennifer Myers | Psychologist | 4000 Coombs Farm Rd, Bldg D Unit 012, Morgantown, WV 26508-1124 | 2009-01-14 |
| 1902917206 | Jennifer K. Myers | Pediatrics | 539c Highway 80 W, Clinton, MS 39056-4193 | 2006-08-31 |
| Street Address |
7333 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778753 | Deborah S Castile | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2005-05-23 |
| 1487264818 | Holly Bowman | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-07-31 |
| 1598387904 | Krystal Marie Li | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-05-08 |
| 1245850106 | Kimberly A. Burns | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
| 1497375356 | Stacey M. Krick | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
| 1619519915 | Liece Laurens | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2019-10-08 |
| 1689226797 | Crista Randol | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2019-07-10 |
| 1780156299 | Jenna Marie Waterman | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6202 | 2018-12-21 |
| 1063982973 | Hannah Victoria Duggan | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2018-12-04 |
| 1548746837 | Jodi Grover | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215153 | Mark A Fisher | Physician Assistant | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2005-09-15 |
| 1275142986 | Bradley Ophoff | Physician Assistant | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2020-07-28 |
| 1073963351 | Jenifer Kay Fortney | Physician Assistant | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 | 2016-06-16 |
| 1972900199 | Rachel Mcpherson | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2014-12-03 |
| 1730581067 | Keith William Lowe | Physician Assistant | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2014-09-18 |
| 1528321759 | Sarita Ruetz | Physician Assistant | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2012-06-21 |
| 1841421583 | Nathaniel D Roach | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2009-07-29 |
| 1265678486 | Cheryl Lynn Kiel | Physician Assistant | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2008-12-17 |
| 1407010564 | Emily E Lierman | Physician Assistant | 2200 Randallia Dr., Fort Wayne, IN 46805-4638 | 2008-07-17 |
| 1750545414 | Briana Nicole Aspy | Physician Assistant | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1713 | 2008-07-11 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on JENNIFER RAYE MYERS.
| 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.