Jennifer Lea Kmiecinski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA053799 Issued in PA

Practice address

5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2990

Phone

(717) 943-1566

Fax

(717) 943-1567

NPI assigned

Feb 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L Croft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1508005661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758952",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758952",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 JONESTOWN RD",
            "address_2": "SUITE 105",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122990",
            "telephone_number": "717-943-1566",
            "fax_number": "717-943-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMIECINSKI",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CROFT",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ross E Kline, D.M.D.
• Barbara Klinger, CRNP
• Linda Hayes Klinger, MS
• Carlie Klingman
• Monica Klunk, CRNP
• Seth Knapic, DO
• Barbara Knaub, CRNA
• Taylor Knepp
• Emerson Leroy Knight Jr., MD
• Olson Orenson Knight, MD

• Physician Assistant in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.