Active NPI
Jesse Michael Hartmann, DNP, APN
- Gerontology Clinical Nurse Specialist
- Tacoma, WA
National Provider Identifier
1255013116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- APN.0998977-CNS
- Practice address
- 9040A Jackson Ave
Tacoma, WA 98433 - Phone
- (253) 968-1353
- NPI assigned
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | APN.0998977-CNS | CO | Primary |
Addresses
Primary practice location
9040A Jackson Ave
Tacoma, WA 98433
Mailing address
502 3Rd St
Steilacoom, WA 98388-1012
Phone (719) 648-8431
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0998977-CNS | CO | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1255013116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 3RD ST",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "983881012",
"telephone_number": "719-648-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "98433",
"telephone_number": "253-968-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "JESSE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DNP, APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CO",
"license": "APN.0998977-CNS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.