Individual provider Active NPI

Jenna E Speziale, CNP, FNP-BC

  • Family Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1962959445
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019432 Issued in OH
Practice address
7206 Market St Ste a
Boardman, OH 44512
Phone
(330) 726-3379
Fax
(330) 726-8683
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.361461 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.019432 OH Primary

Addresses

Primary practice location

7206 Market St Ste a
Boardman, OH 44512

Mailing address

7206 Market St Ste a
Boardman, OH 44512-4562
Phone (330) 726-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103002218 OH Practitioner - Nurse Practitioner 8527326180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zachary F Veres D.O., LLCGroup PAC ID 1557677705, 2 clinicians
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

4681 Mahoning Ave NW
Warren, OH 44483-1498
Phone 3308477778210

7206 Market St
A
Boardman, OH 44512-4562
Phone (330) 726-3379

Hospital & facility affiliations

  • Valley Home Health Care, LLC Home health agency, Boardman, OH, CCN 368106
  • Alpine Care Home Health Home health agency, Youngstown, OH, CCN 368140
  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Nightingale Care Home health agency, Warren, OH, CCN 368488
  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.361461OHMDRegistered Nurse
APRN.CNP.019432OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jan 1, 2018 Accepting new patients
Verodana, Inc CurrentSince Feb 1, 2024 Accepting new patients
Zachary F. Veres D.O., LLC CurrentSince Feb 1, 2024 Accepting new patients
Vpa PC CurrentSince Jan 1, 2018 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

4681 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-7778

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Interoperability endpoints

  • Direct secure messaging: jenna.speziale.1@32913.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1962959445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 MARKET ST STE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124562",
            "telephone_number": "330-726-3379",
            "fax_number": "330-726-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 MARKET ST STE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-726-3379",
            "fax_number": "330-726-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZIALE",
        "first_name": "JENNA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.361461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.