Individual provider Active NPI

Martha Jeanne Jensen, RN

  • Occupational Health Registered Nurse
  • Saginaw, MI
National Provider Identifier
1306014584
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
4704101301 Issued in MI
Practice address
1629 N Washington Ave
GMHS Smco Medical Dept
Saginaw, MI 48601-1211
Phone
(989) 757-0518
Fax
(989) 757-1597
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 4704101301 MI Primary

Addresses

Primary practice location

1629 N Washington Ave
GMHS Smco Medical Dept
Saginaw, MI 48601-1211

Mailing address

8825 Iroquois Rd
Saint Helen, MI 48656-9746
Phone (090) 389-3989

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
4704101301MIMDOccupational Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1306014584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 IROQUOIS RD",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486569746",
            "telephone_number": "090-389-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 N WASHINGTON AVE",
            "address_2": "GMHS SMCO MEDICAL DEPT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486011211",
            "telephone_number": "989-757-0518",
            "fax_number": "989-757-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARTHA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "MI",
            "license": "4704101301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.