Jessica Brooke Huntzinger, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704265639 Issued in MI

Practice address

515 Quartz St
Ontonagon, MI 49953-1115

Phone

(906) 884-4804

Fax

(906) 884-4856

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Copper Country Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Ontonagon, MI
  • NPI 1780871137
  NPD (past)
• Copper Country Community Mental Health Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houghton, MI
  • NPI 1881607497
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1376196667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 3RD ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 QUARTZ ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531115",
            "telephone_number": "906-884-4804",
            "fax_number": "906-884-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTZINGER",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704265639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Delene
• Helen Domitrovich, APRN, DNP, FNP-C
• Danielle Hamlin, NP
• Harbor Town Pharmacy Inc
• Horizon Home Care Inc
• Robert J Johnson, D.D.S.
• Ryan Kaiponen
• Colleen Marie Lundgren, PTA
• Eric Andrew Maki, M.D.
• Maple Manor Nursing Center, Inc

• Registered Nurse in Ontonagon, MI
• Providers in Ontonagon, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.