Jennifer Holem Attie, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704216431 Issued in MI

Practice address

2390 Mitchell Park Dr Ste a
Petoskey, MI 49770-8965

Phone

(231) 487-2250

Fax

(231) 412-6360

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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.

• Alcona Citizens for Health Inc

  • Community/Retail Pharmacy
  • Alpena, MI
  • NPI 1407949845
  NPD (past)
• Bayside Family & Sports Medicine PC

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1629251129
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.attie.p1@direct.alcona.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2023.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1194894345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR STE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-2250",
            "fax_number": "231-412-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR STE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-2250",
            "fax_number": "231-412-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIE",
        "first_name": "JENNIFER",
        "middle_name": "HOLEM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704216431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4704216431",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.attie.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2390 Mitchell Park Dr Ste A",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497708965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Alessi DPM PC
• Arec Obs LLC
• Peter Scott Armstrong, M.D.
• Art of Medicine Personalized PLLC
• Associated Retinal Consultants, PC
• Khalil A Attie, MD
• Brittany Averill
• Jenniffer Azolas, CD
• Chelsea J Bachelor, DC
• Jill Bacigalupi

• All providers in Petoskey, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.