Individual provider Active NPI

Jan L Puffenberger, RN

  • Community Health Registered Nurse
  • Warrenton, VA
National Provider Identifier
1285818690
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
0001092572 Issued in VA
Practice address
340 Hospital Dr
Warrenton, VA 20186-3006
Phone
(540) 347-7620
Fax
(540) 349-0644
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 0001092572 VA Primary

Addresses

Primary practice location

340 Hospital Dr
Warrenton, VA 20186-3006

Mailing address

PO Box 1568
Culpeper, VA 22701-6568
Phone (540) 825-3100

Other identifiers 1

IdentifierTypeStateIssuer
4945361MedicaidVA

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001092572VAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Rapidan CSB Past Accepting new patients
Rappahannock-Rapidan Community Services Board PastSince Sep 18, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1285818690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227016568",
            "telephone_number": "540-825-3100",
            "fax_number": "540-825-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863006",
            "telephone_number": "540-347-7620",
            "fax_number": "540-349-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUFFENBERGER",
        "first_name": "JAN",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "VA",
            "license": "0001092572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945361",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.