JENNIFER ANN PUELLO (NPI# 1790150712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790150712 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN PUELLO |
| Other Name | JENNIFER ANN SHEAKLEY |
| Credential | DPT |
| Practice Address |
210 S Perry St Suite A Titusville PA 16354-1684 |
| Practice Telephone | 8148270332 |
| Mailing Telephone | 8148270332 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT016388 | PA | Other Service Providers |
| Street Address |
210 S PERRY ST SUITE A |
| City | TITUSVILLE |
| State | PA |
| Zip Code | 16354-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689619561 | Keystone Rehabilitation Systems Inc | Clinic/Center | 210 S Perry St, Suite A, Titusville, PA 16354-1684 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073914883 | Brittany Ann Masterson | Physician Assistant | 150 West Central Avenue, Titusville, PA 16354 | 2014-09-11 |
| 1306050299 | Scott Coleman Smith | Nurse Anesthetist, Certified Registered | Titusville Area Health Services, Inc. - Anesthesia, 406 West Oak Street, Titusville, PA 16354 | 2007-05-09 |
| 1871716621 | Wayne A Martin | Dentist | 202 Union Street, Ste 3, Titusville, PA 16354 | 2007-04-10 |
| 1952469660 | Shelly L Proper | Counselor | 115 West Spring Street, Titusville, PA 16354 | 2006-12-05 |
| 1124190830 | Ashleigh K English | Counselor | 115 West Spring St, Titusville, PA 16354 | 2006-11-15 |
| 1104921428 | Titusville Area Hospital | Medicare Defined Swing Bed Unit | 406 West Oak Street, Titusville, PA 16354 | 2006-09-13 |
| 1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
| 1891800470 | James Leo Kristobak | Dentist | 129 N Franklin St, Titusville, PA 16354 | 2006-08-21 |
| 1770531295 | Kathleen D Etzel | Radiology | 406 W Oak Street, Titusville, PA 16354 | 2006-05-05 |
| 1235104977 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | Drake Mall, Titusville, PA 16354 | 2006-02-17 |
| Find all providers in zip 16354 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598169922 | Kelli Mcdonel | Specialist | 3954 Ridgewood Dr, Titusville, FL 32796-2251 | 2014-10-14 |
| 1104199348 | Rebecca E Covert | Specialist | 3910 S Washington Ave Ste 109, Titusville, FL 32780-5860 | 2012-02-20 |
| 1497943732 | Gail Linebaugh Ratliff | Specialist | 2615 Baywood Dr, Titusville, FL 32780-5903 | 2007-10-11 |
| 1710105267 | Jeanette Van Duyne | Specialist | 5650 S Washington Ave, Titusville, FL 32780-7312 | 2007-04-22 |
| 1639204019 | Justo Gonzalez | Specialist | 2203 Garden St, Titusville, FL 32796-2577 | 2007-02-23 |
| 1760567820 | Anesthesia Associates of Titusvlle | Specialist | 1504 Garden St, Titusville, FL 32796-3268 | 2006-10-26 |
| 1073585741 | 'young C Fan Md' | Specialist | 119 E Mechanic St, Titusville, PA 16354-2161 | 2006-02-06 |
| 1962482349 | Sachin R Shenoy | Specialist | 1845 Jess Parrish Ct, Titusville, FL 32796-2123 | 2006-01-20 |
| 1346248242 | Ronald Christopher Ryan | Specialist | 1917 Knox Mcrae Dr, Titusville, FL 32780-5360 | 2005-07-13 |
| 1306841473 | Mark R Licht | Specialist | 825 Century Medical Dr, Titusville, FL 32796-2113 | 2005-06-16 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 16354 |
Please comment or provide details below to improve the information on JENNIFER ANN PUELLO.
| 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.