Jennifer Renee Basford, NP.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71007732A Issued in IN

Practice address

1100 Commerce St
Fort Recovery, OH 45846

Phone

(419) 375-5550

Fax

(419) 375-5560

NPI assigned

Jan 11, 2018

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Miller Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1558879577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE ST P.O. BOX 555",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "45846",
            "telephone_number": "419-375-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COMMERCE ST",
            "city": "FORT RECOVERY",
            "state": "OH",
            "postal_code": "45846",
            "telephone_number": "419-375-5550",
            "fax_number": "419-375-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASFORD",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "NP.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007732A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Alig, NP
• Amy Wendel Family Health, LLC
• Jenelle Backs
• Gwendolyn Louise Bergman
• Maggie Bollenbacher, DPT
• Jacquelyn Lee Briscoe, PHARM D
• Lauren Elizabeth Broering, PHARMD, RPH
• Erin Heather Burns, PHARMD

• Family Nurse Practitioner in Fort Recovery, OH
• Providers in Fort Recovery, 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 Mar 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.