Active NPI
Jennifer Brown Tichich, ANP-BC
- Primary Care Nurse Practitioner
- Laconia, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 046565-23
- Practice address
- 22 Strafford St Ste 1
Laconia, NH 03246-4702 - Phone
- (603) 366-1070
- NPI assigned
- Jan 16, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304640 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | 046565-23 | NH | Primary |
Addresses
Primary practice location
22 Strafford St Ste 1
Laconia, NH 03246-4702
Mailing address
22 Strafford St Ste 1
Laconia, NH 03246-4702
Phone (603) 366-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141216000873 | NY | Practitioner - Nurse Practitioner | 4587987904 | Reassigns benefits to 1 organization |
| I20220930002639 | NH | Practitioner - Nurse Practitioner | 4587987904 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthfirst Family Care Center Inc
Practice addresses (Care Compare)
22 Strafford St
Laconia, NH 03246-4701
Phone (603) 366-1070
841 Central St
Franklin, NH 03235-2026
Phone (603) 934-1464
Hospital & facility affiliations
- Concord Hospital- Laconia
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304640 | NY | MD | Physical Medicine & Rehabilitation Physician |
| 046565-23 | NH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Family Care Center, Inc. | Current | Accepting new patients | |
| Healthfirst Family Care Center, Inc. | Current | Accepting new patients | |
| Barrington Surgical Care LLC | Current | Accepting new patients | |
| Saratoga Family Medicine,PLLC | Current | Accepting new patients | |
| Comprehensive Rehab Consultants PLLC | Current | Accepting new patients | |
| Northeast Medical Consultants PC | Current | Accepting new patients | |
| Healthfirst Family Care Center, Inc. | Current | Accepting new patients | |
| Rye Surgical Center, LLC | Current | Accepting new patients | |
| Eugene K. Merecki, MD PC | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
944 Calef Hwy
Barrington, NH 03825
Phone 6036640100118
30 Colby Ct
Bedford, NH 03110
Phone (603) 267-0527
841 Central St
Franklin, NH 03235
Phone (603) 934-0177
14 Maple St
Gilford, NH 03249
Phone (603) 524-5816
22 Strafford St
Ste 1
Laconia, NH 03246
Phone (603) 366-1070
270 Lafayette Rd
Rye, NH 03870
Phone (603) 319-1581
6 Medical Park Dr
Ste 208
Malta, NY 12020
Phone (518) 899-2632
Interoperability endpoints
- jennifer.brown.tichich.1@28435.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Franklin, NH
- NPI 1134180367
NH
-
- Interventional Pain Medicine Physician
- Barrington, NH
- NPI 1215946181
NH
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
NH
-
- Federally Qualified Health Center (FQHC)
- Laconia, NH
- NPI 1972203347
-
- Federally Qualified Health Center (FQHC)
- Laconia, NH
- NPI 1043918949
-
- Federally Qualified Health Center (FQHC)
- Laconia, NH
- NPI 1093080707
-
- Federally Qualified Health Center (FQHC)
- Canaan, NH
- NPI 1336920883
-
- Primary Care Clinic/Center
- Ballston Spa, NY
- NPI 1962527630
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1124179130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 STRAFFORD ST STE 1",
"city": "LACONIA",
"state": "NH",
"postal_code": "032464702",
"telephone_number": "603-366-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 STRAFFORD ST STE 1",
"city": "LACONIA",
"state": "NH",
"postal_code": "032464702",
"telephone_number": "603-366-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICHICH",
"first_name": "JENNIFER",
"middle_name": "BROWN",
"name_prefix": "Ms.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304640",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NH",
"license": "046565-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.