Active NPI
Jena Marie Hosband, P.A.-C.
- Physician Assistant
- Bethlehem, PA
National Provider Identifier
1043218274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MD1048467
- Practice address
- 2775 Schoenersville Rd
Bethlehem, PA 18017-7307 - Phone
- (610) 861-8080
- Fax
- (610) 807-0366
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MD1048467 | PA | Primary |
Addresses
Primary practice location
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Mailing address
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1958626 | Other | HIGHMARK BLUE SHIELD | |
| P3178841 | Other | OXFORD HEALTH PLANS | |
| 328915 | Other | HEALTHAMERICA/HEALTHASSUR | |
| 50047438 | Other | KEYSTONE HEALTH CENTRAL | |
| 50047438 | Other | CAPITAL BLUE CROSS |
Other names 1
- Jena Marie Diviney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1043218274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-807-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-807-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSBAND",
"first_name": "JENA",
"middle_name": "MARIE",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MD1048467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1958626",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3178841",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA/HEALTHASSUR",
"identifier": "328915",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH CENTRAL",
"identifier": "50047438",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50047438",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENA",
"last_name": "DIVINEY",
"middle_name": "MARIE",
"credential": "P.A.-C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.