Active NPI
Jane Niswonger, CFNP
- Nurse Practitioner
- Marietta, OH
National Provider Identifier
1356425565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.07456.NP
- Practice address
- 300 E 8TH St
Suite 120
Marietta, OH 45750-3379 - Phone
- (740) 374-4273
- Fax
- (740) 376-5098
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.07456.NP | OH | Primary |
Addresses
Primary practice location
300 E 8TH St
Suite 120
Marietta, OH 45750-3379
Mailing address
PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jane.niswonger@mmhs.medicity.net |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.07456.NP | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1356425565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457500449",
"telephone_number": "740-374-4500",
"fax_number": "740-374-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 8TH ST",
"address_2": "SUITE 120",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503379",
"telephone_number": "740-374-4273",
"fax_number": "740-376-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISWONGER",
"first_name": "JANE",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.07456.NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jane.niswonger@mmhs.medicity.net",
"affiliation": "N",
"address_1": "300 E 8th St",
"address_2": "Suite 120",
"city": "Marietta",
"state": "OH",
"country_code": "US",
"postal_code": "457503379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.