Active NPI
Jennifer Liddell Kaminstein, M.D.
- Family Medicine Physician
- Millersville, PA
National Provider Identifier
1316144991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD444470
- 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
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 |
|---|---|---|---|---|
| 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
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.