Active NPI
Jennifer Rattien, PA-C
- Physician Assistant
- Sanford, NC
National Provider Identifier
1326227661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-01111
- Practice address
- 724 S Horner Blvd
Sanford, NC 27330-4822 - Phone
- (919) 776-6767
- Fax
- (919) 776-6773
- NPI assigned
- Nov 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01111 | NC | Primary |
Addresses
Primary practice location
724 S Horner Blvd
Sanford, NC 27330-4822
Mailing address
724 S Horner Blvd
Sanford, NC 27330-4822
Phone (919) 776-6767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-01111 | Other | NC | LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1326227661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304822",
"telephone_number": "919-776-6767",
"fax_number": "919-776-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304822",
"telephone_number": "919-776-6767",
"fax_number": "919-776-6773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATTIEN",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-02",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-01111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0010-01111",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
- Katherine Randolph, PT, DPT
- John Rapacz Jr., PA
- Rapid Care LLC (Rapid Care Family Medicine & Urgent Care)
- Rapid Care PLLC
- Tamekia Brianne Ratliff, FNP
- Saritha Ravella, M.D.
- RCTG, LLC (Royal Oaks Assisted Living)
- RCTG, LLC (Magnolia House Retirement Center)
- Recharged Perception LLC
- Alexis Renae Reece, MSW, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.