Jeneen Nicole Ratliff, AGPCNP-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

AP128337 Issued in TX

Practice address

7041 Brooke Blvd
Midlothian, TX 76065-7918

Phone

(601) 951-3941

Fax

(972) 730-8952

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jeneen Nicole Patrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1083099618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 BROOKE BLVD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657918",
            "telephone_number": "601-951-3941",
            "fax_number": "972-730-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 BROOKE BLVD",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657918",
            "telephone_number": "601-951-3941",
            "fax_number": "972-730-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JENEEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "AP128337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENEEN",
            "last_name": "PATRICK",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Pulido
• Patricia S Quinn, LCSW
• Radiological Consultants Association
• Randalls Food & Drugs LP
• Hannah Jade Rankin, PT, DPT
• Ray'S Healthcare Services
• Amy Melissa Reed, P.T
• Lisa Maria Reynolds, M.S., CCC-SLP
• Rhema Wellness Institute, PLLC
• Ricardo Dominguez, Lsa, Inc.

• Registered Nurse in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.