JACQUELINE CHURCHMAN (NPI# 1184233496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184233496 |
| Entity Type | Individual |
| Full Name | JACQUELINE CHURCHMAN |
| Practice Address |
250 Sunset Hollow Rd West Chester PA 19380-3840 |
| Practice Telephone | 6102838446 |
| Mailing Telephone | 6102838446 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP022224 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 SUNSET HOLLOW RD |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810476 | Rylee Fishman | Nurse Practitioner | 5492 Crossbridge Dr, West Chester, OH 45069-1682 | 2020-10-26 |
| 1245876333 | Jessica Hendricks | Nurse Practitioner | 7430 Jean Dr, West Chester, OH 45069-2659 | 2019-11-23 |
| 1912543406 | Healthcare Practice Solutions LLC | Nurse Practitioner | 9374 Cincinnati Columbus Rd, West Chester, OH 45241-5199 | 2019-11-20 |
| 1154803740 | Shanhong Wang | Nurse Practitioner | 7760 W Voice of America Park Dr Ste D, West Chester, OH 45069-3371 | 2018-08-30 |
| 1932629680 | Prime Health Medical Offices LLC | Nurse Practitioner | 4343 Brighton Ln, West Chester, OH 45069-9227 | 2017-06-23 |
| 1982053898 | Texas Integrated Healthcare Solutions Pllc | Nurse Practitioner | 7967 Cincinnati Dayton Rd Ste P, West Chester, OH 45069-2064 | 2016-06-10 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1578748661 | Cheryl Ann Williams | Nurse Practitioner | 915 Old Fern Road, Bldng D Ste 503, West Chester, PA 19380-4629 | 2008-01-08 |
| 1427198712 | Mary Jane Rogan | Nurse Practitioner | 125 W Rosedale Avenue, West Chester University, West Chester, PA 19383 | 2007-02-07 |
| 1518037670 | Wendy Susan Hill Thal | Nurse Practitioner | 1615 E. Boot Rd., West Chester, PA 19380 | 2006-11-08 |
| Find all providers in WEST CHESTER | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
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| 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.