Jennifer Lynne Datta, N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

10801-NP Issued in OH

Practice address

3124 Bean Oller Rd
Delaware, OH 43015-9220

Phone

(740) 369-6516

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Southwestern Recovery Center, LLCGroup PAC ID 5294095956, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwestern Recovery Center, LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1295241933
  Medicare reassignment Care Compare group NPD
• Marion Pain Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Marion, OH
  • NPI 1326360082
  Medicare reassignment NPD
• Capital Private Psychological Services

  • Clinical Social Worker
  • New Albany, OH
  • NPI 1760016018
  Medicare reassignment
• Marion Pain Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Marion, OH
  • NPI 1548824535
  NPD
• Southwestern Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grove City, OH
  • NPI 1427642966
  NPD
• BKC Pain Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Marion, OH
  • NPI 1760779664
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324857600000",
    "number": "1083676969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 BEAN OLLER RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159220",
            "telephone_number": "740-369-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 BEAN OLLER RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159220",
            "telephone_number": "740-369-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10801-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "10801-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Nicole Cutris, LPN
• Deepshikha Dahiya, DDS
• Valerie Rose Danford, OD
• Daniel & Max, LLC
• Gladys Kusi Darko
• Elizabeth Ann Daugherty, LPN
• Andrew Scott Davis, RN
• Bryan Davis, PC
• Shelley Davis, LSW
• Kellie Jean Dawson, L.I.S.W-S

• Acute Care Nurse Practitioner in Delaware, OH
• Providers in Delaware, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.