Active NPI
Jennifer Miscavage
- Nurse's Aide
- Lewisburg, PA
National Provider Identifier
1497934640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 9916107
- Practice address
- 501 Market St Ste 2
Lewisburg, PA 17837-3002 - Phone
- (570) 524-0900
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 9916107 | PA | Primary |
Addresses
Primary practice location
501 Market St Ste 2
Lewisburg, PA 17837-3002
Mailing address
1223 W Mulberry St
Coal Township, PA 17866-2618
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9916107 | PA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1497934640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 W MULBERRY ST",
"city": "COAL TOWNSHIP",
"state": "PA",
"postal_code": "178662618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MARKET ST STE 2",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178373002",
"telephone_number": "570-524-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCAVAGE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "PA",
"license": "9916107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.