JENNIFER PRENDERGAST (NPI# 1568078376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568078376 |
| Entity Type | Individual |
| Full Name | JENNIFER PRENDERGAST |
| Credential | APRN-CNP |
| Practice Address |
505 Corporate Center Dr Unit A Vandalia OH 45377-1168 |
| Practice Telephone | 9378982098 |
| Mailing Telephone | 9378982098 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.0027542 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396042842 | Jennifer Kay Prendergast | Counselor | 322 2nd Ave W, Kalispell, MT 59901-4894 | 2011-02-18 |
| 1124685227 | Jennifer Mary Prendergast | Counselor | 420 Fruit Hill Ave, North Providence, RI 02911-2626 | 2019-05-23 |
| Street Address |
505 CORPORATE CENTER DR UNIT A |
| City | VANDALIA |
| State | OH |
| Zip Code | 45377-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659921112 | Wellness for Me, LLC | Family Medicine | 505 Corporate Center Dr Unit A, Vandalia, OH 45377-1168 | 2019-09-17 |
| 1093345050 | Lynne A Lee | Nurse Practitioner | 505 Corporate Center Dr Unit A, Vandalia, OH 45377-1168 | 2020-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760006928 | Vandalia Butler City Schools | Local Education Agency (LEA) | 500 S. Dixie Dr., Vandalia, OH 45377 | 2020-06-03 |
| 1922592815 | Lori Jean Pearson | Nurse Practitioner | 1 E. National Road, Suite 100, Vandalia, OH 45377 | 2018-06-14 |
| 1649794884 | North Dayton Addiction & Recovery, LLC | Clinic/Center | 117 S Dixie Drive, Suite 4, Vandalia, OH 45377 | 2017-07-31 |
| 1821535956 | Allegiant Home Care, LLC | Home Health Aide | 237 S. Dixon Dr. Suite 7, Vandalia, OH 45377 | 2017-01-26 |
| 1689125007 | Melody Sheats | Licensed Practical Nurse | 260 N American Blvd, Vandalia, OH 45377 | 2016-10-20 |
| 1689120297 | Arch Home Care | Home Health | 2820 S. County Line Rd 25a, Troy, OH 45377 | 2016-09-01 |
| 1669782140 | Ohioans Home Healthcare, Inc. | Home Health | 407 Corporate Center Drive, Vandalia, OH 45377 | 2010-10-18 |
| 1073848750 | Jeralyn Renee Tharp | Counselor | 210 W National Rd Ste 2, Vandalia, OH 45377 | 2009-10-13 |
| 1689842031 | Melissa Walters | Licensed Practical Nurse | 908 Croydon Ct., Vandalia, OH 45377 | 2008-02-19 |
| 1881760411 | Merle Eugene Gibson | Family Medicine | 254 Bohanan Drive, Vandalia, OH 45377 | 2006-11-27 |
| Find all providers in zip 45377 | ||||
| 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 |
|---|---|---|---|---|
| 1356806806 | Christina Dixon | Nurse Practitioner | 1101 E Us Highway 54, Vandalia, MO 63382 | 2019-02-08 |
| 1508124751 | Julie Ann Dunn | Nurse Practitioner | 1029 N 8th Street, Vandalia, IL 62471-1238 | 2012-04-25 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1154931400 | Amy Lynn Armstrong | Nurse Practitioner | 1121 N 6th St, Vandalia, IL 62471-1219 | 2020-08-03 |
| 1770950123 | Barbara L Fuessel | Nurse Practitioner | 1029 N 8th St, Vandalia, IL 62471-1238 | 2015-09-01 |
| 1518281757 | Kimberly A Niebrugge | Nurse Practitioner | 1029 N 8th St, Vandalia, IL 62471-1238 | 2010-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1295335289 | Ipsa Patel | Nurse Practitioner | 3143 Elora Ln, Fairfield Township, OH 45011-0532 | 2020-10-28 |
| 1043810476 | Rylee Fishman | Nurse Practitioner | 5492 Crossbridge Dr, West Chester, OH 45069-1682 | 2020-10-26 |
| 1467051318 | Tylyn Bova | Nurse Practitioner | 26550 Hoop Rd, Freeport, OH 43973-9013 | 2020-10-21 |
| 1558960674 | Alicia Walls-holler | Nurse Practitioner | 5947 S Jay Rd, West Milton, OH 45383-7722 | 2020-10-20 |
| 1184223513 | Ryan Matthew Costlow | Nurse Practitioner | 5605 Madrid Dr, Austintown, OH 44515-4136 | 2020-10-16 |
| 1699373886 | Erin Lea Williams | Nurse Practitioner | 5828 Winshire Dr, Canal Winchester, OH 43110-8791 | 2020-10-11 |
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1780281337 | Lisa Cowles | Nurse Practitioner | 9200 Worthington Rd Ste 300, Westerville, OH 43082-7240 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER PRENDERGAST.
| 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.