Individual provider Active NPI

Jennifer Altamuro Patterson, ANP-BC

  • Adult Health Nurse Practitioner
  • Claymont, DE
National Provider Identifier
1336410133
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
LB0000218 Issued in DE
Practice address
732 W Birchtree LN
Claymont, DE 19703-1603
Phone
(215) 431-7537
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LB0000218 DE Primary
Adult Health Nurse Practitioner 363LA2200X SP008164 PA

Addresses

Primary practice location

732 W Birchtree LN
Claymont, DE 19703-1603

Mailing address

732 W. Birchtree Lane
Claymont, DE 19703
Phone (215) 431-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000767 PA Practitioner - Nurse Practitioner 2264674530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LB0000218DEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Apr 24, 2017 Accepting new patients
HCR Manor Care Medical Services of Florida LLC CurrentSince Apr 24, 2017 Accepting new patients
Main Line Healthcare CurrentSince May 2, 2024 Accepting new patients
Inpatient Consultants of Delaware, LLC PastSince Apr 1, 2018 Accepting new patients

Locations

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

L2540
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

3855 West Chester Pike
Ste 300
Newtown Square, PA 19073
Phone (484) 337-2585

115 S Providence Rd
Wallingford, PA 19086
Phone (610) 565-3232

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1336410133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 W. BIRCHTREE LANE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "19703",
            "telephone_number": "215-431-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 W BIRCHTREE LN",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031603",
            "telephone_number": "215-431-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNIFER",
        "middle_name": "ALTAMURO",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB0000218",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP008164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

Verify at the official NPI Registry.