Active NPI
Jennifer L Schultz, PA-C
- Physician Assistant
- West Springfield, MA
National Provider Identifier
1538283122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1987
- Practice address
- 1132 Westfield St
West Springfield, MA 01089-3878 - Phone
- (413) 592-1980
- Fax
- (413) 439-0096
- NPI assigned
- Mar 19, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1987 | MA | Primary |
Addresses
Primary practice location
1132 Westfield St
West Springfield, MA 01089-3878
Mailing address
138 Jewett St
Georgetown, MA 01833-1814
Phone (978) 835-8457
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 |
|---|---|---|---|
| 1987 | MA | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538283122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 JEWETT ST",
"city": "GEORGETOWN",
"state": "MA",
"postal_code": "018331814",
"telephone_number": "978-835-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 WESTFIELD ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010893878",
"telephone_number": "413-592-1980",
"fax_number": "413-439-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
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.