Individual provider Active NPI

Jenna Therese Hirst, FNP-C

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1114757010
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A180607 Issued in IA
Practice address
700 Waverly Rd
Davenport, IA 52804-4317
Phone
(563) 723-7188
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A180607 IA Primary

Addresses

Primary practice location

700 Waverly Rd
Davenport, IA 52804-4317

Mailing address

1209 12TH Ave
Moline, IL 61265-3004
Phone (309) 781-2643

Other practice location 1

1455 Hospital Rd
Silvis, IL 61282-1834
Phone (309) 865-7130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240822004447 IA Practitioner - Nurse Practitioner 2264971167 Reassigns benefits to 2 organizations
I20240910000530 IL Practitioner - Nurse Practitioner 2264971167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180607IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Illinois PC CurrentSince Aug 21, 2024 Accepting new patients
CH Specialty Services Ia PC CurrentSince Aug 21, 2024 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Aug 21, 2024 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1455 Hospital Rd
Silvis, IL 61282
Phone (309) 281-3270

211 N Market St
Sparta, IL 62286
Phone (618) 391-0242

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1114757010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 12TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653004",
            "telephone_number": "309-781-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WAVERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528044317",
            "telephone_number": "563-723-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821834",
            "country_code": "US",
            "telephone_number": "309-865-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRST",
        "first_name": "JENNA",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A180607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.