Individual provider Active NPI

Janelle Selva, PA-C

  • Physician Assistant
  • Waynesburg, PA
National Provider Identifier
1942413422
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050627 Issued in PA
Practice address
236 Elm Dr.
Waynesburg, PA 15370-8269
Phone
(724) 627-0926
Fax
(724) 627-0812
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050627 PA Primary

Addresses

Primary practice location

236 Elm Dr.
Waynesburg, PA 15370-8269

Mailing address

7 Glassworks Rd
Greensboro, PA 15338-9507
Phone (724) 943-3308

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

State licenses

LicenseStateTypeSpecialty
MA050627PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jselva172387@direct.ahn.org

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1942413422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLASSWORKS RD",
            "city": "GREENSBORO",
            "state": "PA",
            "postal_code": "153389507",
            "telephone_number": "724-943-3308",
            "fax_number": "724-943-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ELM DR.",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708269",
            "telephone_number": "724-627-0926",
            "fax_number": "724-627-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVA",
        "first_name": "JANELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.