Jean Marie Hohm, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CP000223 Issued in SD

Practice address

211 Founders Park Dr
Suite 3
Rapid City, SD 57701-8098

Phone

(605) 791-5959

Fax

(605) 791-5960

NPI assigned

Jun 30, 2006

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

Other identifiers 1

Other names 1

• Jean Marie Matthews Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

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 and National Provider Directory roles.

• Founders Park Clinic, PLLC

  • Primary Care Clinic/Center
  • Rapid City, SD
  • NPI 1386927465
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1376572693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FOUNDERS PARK DR",
            "address_2": "SUITE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018098",
            "telephone_number": "605-791-5959",
            "fax_number": "605-791-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FOUNDERS PARK DR",
            "address_2": "SUITE 3",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018098",
            "telephone_number": "605-791-5959",
            "fax_number": "605-791-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOHM",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SD",
            "license": "CP000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702252",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "MATTHEWS",
            "middle_name": "MARIE",
            "credential": "CPNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tricia Hoffman
• Daniel P Hofmann, MD
• Kathy Hogg
• Mark Elliott Hogg, DDS, SCD
• Nicholas Hohensee, PHARMD
• Taylor Hohn, LPN
• John Charles Hojek III, AD, LSW
• Jennifer Holdaway, RN
• Holec and Young Eye Care, LLP
• Jennifer Holec, SLP

• Pediatric Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Pediatric Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.