Individual provider Active NPI

Jodi Trees, RN, APN-C

  • Adult Health Nurse Practitioner
  • Medford, NJ
National Provider Identifier
1417120015
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN07708900 Issued in NJ
Practice address
3 Locke Cir
Medford, NJ 08055-3905
Phone
(609) 714-0997
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 26NN07708900 NJ
Adult Health Nurse Practitioner 363LA2200X 26NN07708900 NJ Primary

Addresses

Primary practice location

3 Locke Cir
Medford, NJ 08055-3905

Mailing address

3 Locke Cir
Medford, NJ 08055-3905
Phone (609) 714-0997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130823000404 NJ Practitioner - Nurse Practitioner 0547403560 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN07708900NJMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates of NJ LLC CurrentSince May 1, 2023 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

2381 Lawrenceville Rd
Trenton, NJ 08648
Phone (609) 896-8152

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1417120015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LOCKE CIR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553905",
            "telephone_number": "609-714-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LOCKE CIR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553905",
            "telephone_number": "609-714-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREES",
        "first_name": "JODI",
        "credential": "RN, APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NJ",
            "license": "26NN07708900",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN07708900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.