Individual provider Active NPI

Jeannie Higgin

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1104960012
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000965 Issued in DE
Practice address
200 Tyre Ave
Newark, DE 19711-7136
Phone
(302) 454-2047
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L10028251 DE
Family Nurse Practitioner 363LF0000X LG-0000965 DE Primary

Addresses

Primary practice location

200 Tyre Ave
Newark, DE 19711-7136

Mailing address

716 Seymour Rd
Bear, DE 19701-1164
Phone (302) 743-0092

Medicare participation

Medicare enrollment files
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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L10028251DEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Better Wellness Mind & Body Family Current Accepting new patients
Better Wellness Family Practice LLC Current Accepting new patients
Medexpress, Inc - Delaware Past Accepting new patients

Locations

801 N DuPont Hwy
New Castle, DE 19720
Phone (302) 668-8089

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1104960012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SEYMOUR RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011164",
            "telephone_number": "302-743-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TYRE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117136",
            "telephone_number": "302-454-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGIN",
        "first_name": "JEANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L10028251",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.