Paige Ellen Fetterhoof

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

42 S Mann Ave
Yeagertown, PA 17099-9662

Phone

(717) 953-9087

NPI assigned

Jul 2, 2010

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2010.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1982916201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 S MANN AVE",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999662",
            "telephone_number": "717-953-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 S MANN AVE",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999662",
            "telephone_number": "717-953-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERHOOF",
        "first_name": "PAIGE",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle R Bixler
• Breanna Nichole Bodtorf, RDH
• Brittney J Bomberger, RN
• Allyson Sue Cahill, M.S.
• Jennifer Ruth Daddario, M. ED.
• Charles Robert Frey Jr., DC
• Amber Danielle Goss
• Heidi Jo Goss, MS/LBS
• Christopher Michael Hartley, D.C.
• Mark S Hill

• All providers in Yeagertown, PA
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.