Individual provider Active NPI

Jennifer Liddell Kaminstein, M.D.

  • Family Medicine Physician
  • Millersville, PA
National Provider Identifier
1316144991
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD444470 Issued in PA
Practice address
16 Manor Ave Ste a
Millersville, PA 17551-1132
Phone
(717) 872-5444
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD444470 PA Primary

Addresses

Primary practice location

16 Manor Ave Ste a
Millersville, PA 17551-1132

Mailing address

16 Manor Ave Ste a
Millersville, PA 17551-1132
Phone (717) 872-5444

Other names 1

  • Dr. Jennifer Young Liddell Former name

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
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1316144991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MANOR AVE STE A",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511132",
            "telephone_number": "717-872-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MANOR AVE STE A",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511132",
            "telephone_number": "717-872-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "LIDDELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD444470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LIDDELL",
            "middle_name": "YOUNG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.