JESSIE S. HARTMAN (NPI# 1104051671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104051671 |
Entity Type | Individual |
Full Name | JESSIE S. HARTMAN |
Credential | M.S.W |
Practice Address |
Diakon Family Life Services 435 W. Fourth Street Williamsport PA 17701 |
Mailing Address |
Diakon Family Life Services 1800 W. Market Street Lewisburg PA 17837 |
Practice Telephone | 5703227873 |
Practice Fax Number | 5703228026 |
Mailing Telephone | 5705249477 |
Mailing Fax Number | 5709249492 |
Enumeration Date | 2009-05-27 |
Last Update Date | 2009-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007777400036 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104378546 | Jessie Hartman | Physical Therapy Assistant | 680 Florida Ave, Apt 4, Pittsburgh, PA 15228-2036 | 2016-11-02 |
Street Address |
DIAKON FAMILY LIFE SERVICES 435 W. FOURTH STREET |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548887789 | Jamie Plocinski Lcsw | Counselor | 953 Market St, Williamsport, PA 17701-3448 | 2020-07-04 |
1881225118 | Kayla Marie Schuster | Counselor | 10806 Vetra Ln, Williamsport, MD 21795-1453 | 2020-01-27 |
1700437977 | Ashley S Nicholas | Counselor | 360 Market St Ste 201, Williamsport, PA 17701-6332 | 2019-09-27 |
1265943468 | Joseph Hartley Wells | Counselor | 520 W 4th St Ste 2b, Williamsport, PA 17701-6038 | 2017-10-16 |
1679940266 | Lorrie Taylor | Counselor | 912 Diamond St, Williamsport, PA 17701-4332 | 2015-08-31 |
1679187348 | Dana Lockridge | Counselor | 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 | 2020-09-01 |
1619508421 | Kathryn Mccarty-welch | Counselor | 435 W 4th St, Williamsport, PA 17701-6001 | 2020-01-30 |
1457901647 | Kayla Baker | Counselor | 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 | 2019-09-19 |
1568012243 | Christopher Wysocki | Counselor | 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 | 2019-09-16 |
1306496088 | Rebecca Getgen | Counselor | 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 | 2019-09-16 |
Find all providers in WILLIAMSPORT |
City | WILLIAMSPORT |
Zip Code | 17701 |
Please comment or provide details below to improve the information on JESSIE S. HARTMAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.