Individual provider Active NPI

Jennifer Brown Tichich, ANP-BC

  • Primary Care Nurse Practitioner
  • Laconia, NH
National Provider Identifier
1124179130
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
046565-23 Issued in NH
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

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NH2 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
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 IncGroup PAC ID 4183688211, 23 clinicians

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 Hospital, Laconia, NH, CCN 300005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304640NYMDPhysical Medicine & Rehabilitation Physician
046565-23NHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Family Care Center, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Healthfirst Family Care Center, Inc. Current Accepting new patients
Barrington Surgical Care LLC CurrentSince Sep 12, 2022 Accepting new patients
Saratoga Family Medicine,PLLC CurrentSince Nov 6, 2014 Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Aug 1, 2023 Accepting new patients
Northeast Medical Consultants PC CurrentSince Sep 12, 2022 Accepting new patients
Healthfirst Family Care Center, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Rye Surgical Center, LLC CurrentSince Sep 12, 2022 Accepting new patients
Eugene K. Merecki, MD PC PastSince Jan 8, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.