Nancy Jeffries, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS006305L Issued in PA

Practice address

617 Glenwood Dr
Ephrata, PA 17522-9778

Phone

(717) 721-9068

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2010By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1801906870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GLENWOOD DR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229778",
            "telephone_number": "717-721-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 GLENWOOD DR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229778",
            "telephone_number": "717-721-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006305L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "40473",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "925456",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001142127",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "133827",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Health & Wellness PLLC
• Vasilios Ioannidis, PHARMD
• Joseph J Irwin, MD
• William Leroy Ives Jr., M.D.
• Brett Jacobs, PTA
• Cynthia Marie Jenkins, LAT, ATC
• John F. Brabazon
• John W Dever DMD Associates
• Victoria Johns
• Monica F Johnson-Null, CRNP

• Family Medicine Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.