Individual provider Active NPI

Margaretha Katharina Jenness, CNP

  • Family Nurse Practitioner
  • Magdalena, NM
National Provider Identifier
1689606022
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R44314 Issued in NM
Practice address
801 Tenth Street
Magdalena, NM 87825
Phone
(575) 835-5094
Fax
(575) 835-5097
NPI assigned
Jul 7, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R44314 NM Primary

Addresses

Primary practice location

801 Tenth Street
Magdalena, NM 87825

Mailing address

PO Box 366
Magdalena, NM 87825-0366
Phone (575) 854-3410

Other identifiers 1

IdentifierTypeStateIssuer
92023MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689606022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "MAGDALENA",
            "state": "NM",
            "postal_code": "878250366",
            "telephone_number": "575-854-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TENTH STREET",
            "city": "MAGDALENA",
            "state": "NM",
            "postal_code": "87825",
            "telephone_number": "575-835-5094",
            "fax_number": "575-835-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESS",
        "first_name": "MARGARETHA",
        "middle_name": "KATHARINA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R44314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92023",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magdalena, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.