Active NPI
Jennifer Villano
- Physician Assistant
- Waymart, PA
National Provider Identifier
1891393237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA002118
- Practice address
- C/O Sci Waymart
Waymart, PA 18472 - Phone
- (570) 488-7220
- NPI assigned
- Oct 16, 2020
- 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 | OA002118 | PA | Primary |
Addresses
Primary practice location
C/O Sci Waymart
Waymart, PA 18472
Mailing address
300 Cameron St
Simpson, PA 18407-1104
Phone (157) 028-1256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA | Other | STATE CORRECTIONS INSURANCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA002118 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1891393237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CAMERON ST",
"city": "SIMPSON",
"state": "PA",
"postal_code": "184071104",
"telephone_number": "157-028-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C/O SCI WAYMART",
"city": "WAYMART",
"state": "PA",
"postal_code": "18472",
"telephone_number": "570-488-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANO",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA002118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CORRECTIONS INSURANCE",
"identifier": "PA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waymart, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.