GINA MICHELLE HENNESSY (NPI# 1831428317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831428317 |
| Entity Type | Individual |
| Full Name | GINA MICHELLE HENNESSY |
| Other Name | GINA M MASCHERINO |
| Credential | APRN |
| Practice Address |
702 Gordon Dr Exton PA 19341-1253 |
| Practice Telephone | 6103631330 |
| Practice Fax Number | 6105248574 |
| Mailing Telephone | 6103631330 |
| Mailing Fax Number | 6105248574 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | SP010586 | PA | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | SP010586 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
LJ-0000276 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP010586 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026832780001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 702 Gordon Dr, Exton, PA 193411253 | 6103631330 | 6105248574 |
| Street Address |
702 GORDON DR |
| City | EXTON |
| State | PA |
| Zip Code | 19341-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872030 | Robert C. Duncheskie | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-11-30 |
| 1770977217 | Alissa Cerny | Pediatrics | 702 Gordon Dr, Exton, PA 19341 | 2015-03-23 |
| 1437554706 | Nicole Coffey | Nurse Practitioner | 702 Gordon Dr, Exton, PA 19341-1253 | 2014-10-29 |
| 1720336043 | Jennifer Ranalli | Dietitian, Registered | 702 Gordon Dr, Exton, PA 19341-1253 | 2012-08-16 |
| 1174720460 | Avani S Mehta | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2007-06-29 |
| 1801964648 | Jennifer O. Melnychuk | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-12-01 |
| 1033287552 | All Star Pediatrics, LLC | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-12-01 |
| 1457428682 | Bradley J. Dyer | Pediatrics | 702 Gordon Dr, Exton, PA 19341-1253 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028342 | Erin Freeman | Nurse Practitioner | 501 Thomas Jones Way, Exton, PA 19341-2531 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
| 1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
| 1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
| 1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
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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.