Active NPI
Jodi Hartwig, APRN, A-CNS, BC
- Adult Health Clinical Nurse Specialist
- Saint Paul, MN
National Provider Identifier
1215333471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- R 107522-5
- Practice address
- 528 Ashland Ave Apt 3
Saint Paul, MN 55102-2059 - Phone
- (763) 516-6688
- NPI assigned
- Nov 14, 2014
- Last updated
- Nov 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | R 107522-5 | MN | Primary |
Addresses
Primary practice location
528 Ashland Ave Apt 3
Saint Paul, MN 55102-2059
Mailing address
528 Ashland Ave Apt 3
Saint Paul, MN 55102-2059
Phone (763) 516-6688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 107522-5 | MN | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1215333471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 ASHLAND AVE APT 3",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022059",
"telephone_number": "763-516-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 ASHLAND AVE APT 3",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022059",
"telephone_number": "763-516-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWIG",
"first_name": "JODI",
"credential": "APRN, A-CNS, BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-14",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "MN",
"license": "R 107522-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.