Jennifer L Hartline, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 121029 Issued in OH

Practice address

60 Cambridge Dr
Apt #17
Georgetown, OH 45121-7209

Phone

(937) 213-0888

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2009.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1184958951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CAMBRIDGE DR",
            "address_2": "APT #17",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451217209",
            "telephone_number": "937-213-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CAMBRIDGE DR",
            "address_2": "APT #17",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451217209",
            "telephone_number": "937-213-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLINE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 121029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Haggard-Pierson, LSW, CDCA
• Grace Ann Hall
• Connie Sue Hanselman
• Barbara Ann Harbottle
• Rebecca Kay Hardymon, LCDCII
• Dawn J Haynes, LSW
• Healthsource of Ohio, Inc.
• Healthsource of Ohio, Inc.
• Healthsource of Ohio, Inc.
• Healthsource of Ohio, Inc.

• All providers in Georgetown, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.