Jennifer Rose Kolchinsky, ANP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN269468 Issued in MA

Practice address

480 Hawthorn Street
Southcoast Physician Services, Inc.
Dartmouth, MA 02747-3713

Phone

(508) 993-3555

Fax

(508) 990-1176

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jennifer Rose Werner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1134415086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 FAUNCE CORNER ROAD",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471271",
            "telephone_number": "508-985-2000",
            "fax_number": "508-985-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HAWTHORN STREET",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473713",
            "telephone_number": "508-993-3555",
            "fax_number": "508-990-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLCHINSKY",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN26946",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN269468",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN269468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WERNER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jae Kim, DMD
• Heidi King
• Matthew Kippe, MD
• Stacey N Knox, M.D.
• Sierra K Kokoo
• Steven Konicki, PT
• Anna Kozupa, M.D.
• Tessa Leigh Kramer, PSYD
• Lilliam Lagasse
• Darbi Lyn Lambert-Matos, M.ED, MACCCSLP

• Primary Care Nurse Practitioner in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.