Individual provider Active NPI

Jennifer B. Houghtalen, RN, FNP

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1316162746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330281 Issued in NY
Practice address
225 Front St
Dr. G. a. Fattal Community Free Clinic
Binghamton, NY 13905-2424
Phone
(607) 772-3519
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330281 NY Primary

Addresses

Primary practice location

225 Front St
Dr. G. a. Fattal Community Free Clinic
Binghamton, NY 13905-2424

Mailing address

45 Essex Rd
Owego, NY 13827-5715
Phone (607) 748-3075

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F330281NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316162746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ESSEX RD",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138275715",
            "telephone_number": "607-748-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRONT ST",
            "address_2": "DR. G. A. FATTAL COMMUNITY FREE CLINIC",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052424",
            "telephone_number": "607-772-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTALEN",
        "first_name": "JENNIFER",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.