Active NPI
Cheryl Juhnke, PA
- Medical Physician Assistant
- New Britain, CT
National Provider Identifier
1376520288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000271
- Practice address
- 100 Grand St
Ondrea Chasse, Medical Staff Office
New Britain, CT 06052-2016 - Phone
- (860) 224-5305
- NPI assigned
- Dec 30, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000271 | CT | Primary |
Addresses
Primary practice location
100 Grand St
Ondrea Chasse, Medical Staff Office
New Britain, CT 06052-2016
Mailing address
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5305
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000271 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376520288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"address_2": "ONDREA CHASSE, MEDICAL STAFF OFFICE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUHNKE",
"first_name": "CHERYL",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "000271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.