Jennifer Marie Douthwaite, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.18831-NP Issued in OH

Practice address

3990 E Broad St
Columbus, OH 43213-1152

Phone

(614) 336-6000

Fax

(614) 336-6898

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health and Wellness Partners of Logan CountyGroup PAC ID 8022247469, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.douthwaite@chwplc.eclinicaldirectplus.com

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.

• Community Health & Wellness Partners of Logan County

  • Community Health Clinic/Center
  • West Liberty, OH
  • NPI 1689005357
  Medicare reassignment Care Compare group NPD
• Community Health & Wellness Partners of Logan County

  dba Graham School Based Health Center

  • Student Health Clinic/Center
  • Saint Paris, OH
  • NPI 1205641388
  NPD
• Community Health & Wellness Partners of Logan County

  dba Indian Lake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Russells Point, OH
  • NPI 1962828293
  NPD
• Community Health & Wellness Partners of Logan County

  dba WL Salem Health Center

  • Student Health Clinic/Center
  • West Liberty, OH
  • NPI 1083215875
  NPD (past)
• Community Health & Wellness Partners of Logan County

  dba Riverside Community /School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • De Graff, OH
  • NPI 1447965058
  NPD (past)
• Community Health & Wellness Partners of Logan County

  dba Benjamin Logan School-Based Health Center

  • Community Health Clinic/Center
  • Bellefontaine, OH
  • NPI 1982360533
  NPD (past)

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1558719500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131152",
            "telephone_number": "614-336-6000",
            "fax_number": "614-336-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131152",
            "telephone_number": "614-336-6000",
            "fax_number": "614-336-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHWAITE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.310046-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18831-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CTP.18831-EX1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.douthwaite@chwplc.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health & Wellness Partners of Logan County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4879 US Highway 68 S",
            "city": "West Liberty",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433579525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latasha R Douglas
• Lisa Douglas, LISW
• Rodelisa Douglas, CNP
• Stephen Douglas, P.H.D
• Leah Bea Douglass, PHARMD
• Teresa Dove
• Amryn Dover
• Kevin Taylor Dover
• Derrick Dow
• Serena Maria Lopez Dow, MD

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.