MRS. JENNA HOSPODAR (NPI# 1629618269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629618269 |
| Entity Type | Individual |
| Full Name | MRS. JENNA HOSPODAR |
| Credential | APRN, CPNP-PC, MSN |
| Practice Address |
6505 Market St Boardman OH 44512-3457 |
| Practice Telephone | 9287500913 |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN.CNP.025989 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6505 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301715 | David J Sansoterra | Pediatrics | 6505 Market St, Boardman, OH 44512-3457 | 2005-07-22 |
| 1649835166 | Anna Marie Stansbury | Registered Nurse | 6505 Market St, Boardman, OH 44512-3457 | 2019-05-09 |
| 1538668686 | Beeghly Nursing LLC | Skilled Nursing Facility | 6505 Market St, Boardman, OH 44512-3457 | 2018-02-05 |
| 1366968935 | Brooke Leigh Crawford | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-08-16 |
| 1689197717 | Mary Agnes Slavens | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-07-20 |
| 1518401025 | Elizabeth A Schmid | Social Worker | 6505 Market St, Boardman, OH 44512 | 2016-12-19 |
| 1336698513 | Kristen Ouellette | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2016-09-28 |
| 1427400753 | Carrie Lynn Zorman | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2016-07-11 |
| 1619340213 | Susan Diana Laird | Counselor | 6505 Market St, Boardman, OH 44512 | 2015-11-04 |
| 1720483928 | Beeghly Oaks Operating, LLC | Skilled Nursing Facility | 6505 Market St, Boardman, OH 44512-3457 | 2014-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518454255 | Amanda Diane Edmonds | Nurse Practitioner | 6505 Market St Bldg A, Boardman, OH 44512-3457 | 2018-04-18 |
| 1508343005 | Rachelle Halula | Nurse Practitioner | 6505 Market St Bldg A1, Boardman, OH 44512-3457 | 2018-07-26 |
| 1518444678 | Dianne Marie Despetorich | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2018-07-22 |
| 1366968935 | Brooke Leigh Crawford | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
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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.