Jennifer M Fetterman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA002696L Issued in PA

Practice address

88 Osborne St
Johnstown, PA 15905-4146

Phone

(814) 539-0798

Fax

(814) 536-4751

NPI assigned

Feb 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prodigy Dialysis

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  NPD (past)
• Renal Care Consultants, PC

  • Nephrology Physician
  • Windber, PA
  • NPI 1174764013
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1811960552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 OSBORNE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054146",
            "telephone_number": "814-539-0798",
            "fax_number": "814-536-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OSBORNE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054146",
            "telephone_number": "814-539-0798",
            "fax_number": "814-536-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERMAN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002696L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lauren Ferrante, PA-C
• Francis T Ferraro, MD
• Barret Ferre
• Phillip Ferris
• Corrin M Fesko
• Yvonne Fetterman, M.D.
• Nancy Fetzer, CRNP
• Kailey Devine Fetzko, DC
• Francis Patrick Feyock, CRNA
• Kristen Feyock

• All providers in Johnstown, PA
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.