Jayne Lee Targgart, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002111A Issued in IN

Practice address

909 Tiller Dr
Valparaiso, IN 46385-1304

Phone

(219) 762-6135

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Franciscan Hammond Clinic LLC

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1861791782
  NPD (past)
• Michiana Hematology-Oncology P C

  • Hematology & Oncology Physician
  • Plymouth, IN
  • NPI 1487793873
  NPD (past)
• The Methodist Hospitals, Inc

  • Plastic and Reconstructive Surgery Physician
  • Gary, IN
  • NPI 1356574701
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1275669079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 TILLER DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463851304",
            "telephone_number": "219-762-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TILLER DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463851304",
            "telephone_number": "219-762-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARGGART",
        "first_name": "JAYNE",
        "middle_name": "LEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002111A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel P Taglia, M.D.
• Heather Sue Talley, LAT, ATC
• Angelina Rose Tants, RBT
• Vanessa Tapia, LSW
• Mark Tarbutton
• Hailey Kay Teachout
• Gilbert John Terlicher, PHARMD
• TGP Enterprises Inc
• Sarah Thacker, PHARMD
• The Dialysis Center of Valparaiso LLC

• All providers in Valparaiso, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.