Jane Linda Nathan, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5015762 Issued in NC

Practice address

1655 Wake Dr Unit 101
Wake Forest, NC 27587-4746

Phone

(919) 556-4779

Fax

(919) 556-5277

NPI assigned

Feb 11, 2022

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janenathan@wfpapllc.allscriptsdirect.net

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.

• Wake Forest Pediatric Associates, PLLC

  • Pediatrics Physician
  • Wake Forest, NC
  • NPI 1790782126
  Medicare reassignment NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783
  Medicare reassignment
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Louisburg, NC
  • NPI 1497918338
  NPD
• Wake Forest Pediatric Associates, PLLC

  dba WFPA, PLLC - Knightdale Pediatric Office

  • Pediatrics Physician
  • Knightdale, NC
  • NPI 1790973469
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1346994084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR UNIT 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874746",
            "telephone_number": "919-556-4779",
            "fax_number": "919-556-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR UNIT 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874746",
            "telephone_number": "919-556-4779",
            "fax_number": "919-556-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "JANE",
        "middle_name": "LINDA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5015762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Naglieri, LCSW
• Natasha Nagpal
• Sara Naguib
• Sherif George Naguib, MD
• Nganje Nelson Nako, LCAS-A
• Amanda Jo Natividad, LCMHCA
• Nazir Ahmad DDS IV, PA
• NC Family Wellness and Recovery, LLC
• Nancy M Nealious, PSYD
• Christian Nechyba, M.D.

• Pediatric Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.