Jenifer Lee Hatch

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN285380 Issued in MA

Practice address

175 Portland St
Boston, MA 02114-1717

Phone

(508) 474-9247

Fax

(857) 327-9178

NPI assigned

Feb 16, 2023

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

Medicare fee-for-service enrollment

Enrolled in MA

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, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Whitley Wellness LLCGroup PAC ID 9537420963, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Whitley Wellness LLC

  • Community/Behavioral Health Agency
  • Charlestown, MA
  • NPI 1205298148

  Family

  Medicare reassignment Care Compare group NPD
• Lynn Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lynn, MA
  • NPI 1992342075
  NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1629776026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PORTLAND ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141713",
            "telephone_number": "508-474-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PORTLAND ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141717",
            "telephone_number": "508-474-9247",
            "fax_number": "857-327-9178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Lynn",
            "state": "MA",
            "postal_code": "019052408",
            "country_code": "US",
            "telephone_number": "781-281-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATCH",
        "first_name": "JENIFER",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN285380",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "RN285380",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN285380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hata, MD
• Dana Hatab
• Masumeh Hatami
• Gianna Hatch
• Hayden Alexander Moses Hatch, MD, PHD
• Edward Aram Hatchigian, MD
• David Brewster Hathaway Jr., M.D.
• Jennifer Hathaway, PT, DPT
• Jimena Tatiana Hathaway, MD, MPH
• Nora Katherine Hathaway, N.P.

• Family Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.