JENNA ROSE MASTIN (NPI# 1902464530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902464530 |
| Entity Type | Individual |
| Full Name | JENNA ROSE MASTIN |
| Credential | MA, CF-SLP |
| Practice Address |
590 Fishers Station Dr Ste 130 Victor NY 14564-9744 |
| Mailing Address |
1931 Worden Rd Seneca Falls NY 13148-9722 |
| Practice Telephone | 5859247207 |
| Mailing Telephone | 3156519604 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
590 FISHERS STATION DR STE 130 |
| City | VICTOR |
| State | NY |
| Zip Code | 14564-9744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437278124 | Kimberly Shade | Physical Therapist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2007-03-27 |
| 1295340198 | Laura D Sprague | Occupational Therapist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2020-09-09 |
| 1487287538 | Amory Dunham | Specialist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2020-02-18 |
| 1669003000 | Jasmine R Torres | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2020-02-03 |
| 1407495070 | Daniella Nicole Licciardello | Speech-Language Pathologist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-12-31 |
| 1972144632 | Sarah Hartman | Occupational Therapist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-10-03 |
| 1831749035 | Patrick Howell | Occupational Therapy Assistant | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-09-19 |
| 1386293645 | Jessica Lee Bamberg | Specialist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-09-10 |
| 1487203691 | Alayna Marie Murphy | Occupational Therapist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-09-10 |
| 1679129381 | Brittany N Ferger | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110722 | Linda Lechner | Technician | 6251 Murphy Dr, Victor, NY 14564 | 2019-08-22 |
| 1447768320 | Christina Ann Counceller | Registered Nurse | 6731 Springdale Ct, Victor, NY 14564 | 2018-01-13 |
| 1679971915 | Claire Marie Higman | Social Worker | 6539 Anthony Dr, Suite A, Victor, NY 14564 | 2014-12-19 |
| 1528300233 | Fpr Specialty Pharmacy, LLC | Pharmacy | 7910 Rae Boulevard, Suite C, Victor, NY 14564 | 2013-03-20 |
| 1598017519 | Vanessa Lynn Becker | Licensed Practical Nurse | 6423 St.rte.96, Victor, NY 14564 | 2012-10-15 |
| 1154688281 | Brownstone Victor Physical Therapy | Specialist | 10 East Main Street, Suite 102, Victor, NY 14564 | 2012-04-13 |
| 1508138017 | America's Best Contacts & Eyeglasses | Technician/Technologist | 427 Commerce Dr., Victor, NY 14564 | 2012-01-30 |
| 1568779759 | Carol Ann Marshall | Occupational Therapy Assistant | 590 Fisher's Station Dr., Victor, NY 14564 | 2010-09-09 |
| 1932345188 | Gina Marie Colucci | Speech-Language Pathologist | 7641 Pine Tree Dr, Victor, NY 14564 | 2008-12-17 |
| 1720231053 | Suzanne Lester | Nurse Practitioner | 1600 Moseley Road, Suite 300, Victor, NY 14564 | 2008-10-30 |
| Find all providers in zip 14564 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194005686 | Julie K Engebrecht | Student in an Organized Health Care Education/Training Program | 7980 Main Street Fishers, Victor, NY 14564-8907 | 2011-08-28 |
| 1669003000 | Jasmine R Torres | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2020-02-03 |
| 1679129381 | Brittany N Ferger | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-08-18 |
| 1104390988 | Alise Pangrazio | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-01-15 |
| 1043703606 | Paula Marie Eichner | Student in an Organized Health Care Education/Training Program | 6539 Anthony Dr Ste A, Victor, NY 14564 | 2018-06-08 |
| 1073034344 | Sarah Ellen Hayes | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2017-06-27 |
| 1073041943 | Sarah Sirianni | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2017-05-23 |
| 1154739407 | Casey Carr | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr, Suite 130, Victor, NY 14564-9744 | 2014-07-31 |
| 1053734590 | Jennifer Prato | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr, Suite 130, Victor, NY 14564-9744 | 2014-02-03 |
| 1376978767 | Kristal Kennedy | Student in an Organized Health Care Education/Training Program | 590 Fishers Station Dr, Suite 130, Victor, NY 14564-9744 | 2013-09-05 |
| Find all providers in VICTOR | ||||
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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.