Active NPI
Jamie K. Titzer, NP
- Nurse Practitioner
- Evansville, IN
National Provider Identifier
1053543363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003033A
- Practice address
- 8601 N Kentucky Ave
Evansville, IN 47725-6371 - Phone
- (812) 491-6772
- Fax
- (812) 491-0758
- NPI assigned
- Aug 20, 2009
- Last updated
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71003033A | IN | Primary |
| Registered Nurse | 163W00000X | 28179325A | IN |
Addresses
Primary practice location
8601 N Kentucky Ave
Evansville, IN 47725-6371
Mailing address
PO Box 1165
N/a
Evansville, IN 47706-1165
Phone (800) 467-2392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200965650 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28179325A | IN | MD | Registered Nurse |
| 71003033A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCleary Chiropractic Clinic PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Evansville, IN
- NPI 1912297318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1053543363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1165",
"address_2": "N/A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477061165",
"telephone_number": "800-467-2392",
"fax_number": "812-471-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 N KENTUCKY AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477256371",
"telephone_number": "812-491-6772",
"fax_number": "812-491-0758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITZER",
"first_name": "JAMIE",
"middle_name": "K.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003033A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28179325A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200965650",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.