Jennifer G D'Antoni, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1006 Issued in SC

Practice address

3231 Sunset Blvd
Suite C
West Columbia, SC 29169-3483

Phone

(803) 454-8500

Fax

(803) 454-8505

NPI assigned

Jul 14, 2005

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 identifiers 1

Other names 1

• Ms. Jennifer Catherine Grasha 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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1730188517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 SUNSET BLVD",
            "address_2": "SUITE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693483",
            "telephone_number": "803-454-8500",
            "fax_number": "803-454-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SUNSET BLVD",
            "address_2": "SUITE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693483",
            "telephone_number": "803-454-8500",
            "fax_number": "803-454-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANTONI",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GRASHA",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather McGinnis Currier, M.D.
• Angelena Jane Cuteri, PHARM.D.
• Jill Cutler, RPH
• Cynthia S. Garman, M.D.
• Alicia Gabrielle D'Amico, NP
• Jennifer Lynn Dablock, CRNA
• Johnathan Charles Dabney, D.C.
• Beverly Williams Daniel, M.D.
• Chelsea Alexandra Daniels
• Nikki Daniels, PTA

• Physician Assistant in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.