Active NPI
Jeanne Battenburg, N.P.
- Family Nurse Practitioner
- Port Hadlock, WA
National Provider Identifier
1700874575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007494
- Practice address
- 121 Oak Bay Road
Port Hadlock, WA 98339 - Phone
- (360) 379-6737
- Fax
- (360) 379-6518
- NPI assigned
- Oct 6, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007494 | WA | Primary |
Addresses
Primary practice location
121 Oak Bay Road
Port Hadlock, WA 98339
Mailing address
PO Box 1566
Port Hadlock, WA 98339-1566
Phone (360) 379-2725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9650870 | Medicaid | WA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007494 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Hadlock Medical Care LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Port Hadlock, WA
- NPI 1831274471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1700874575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1566",
"city": "PORT HADLOCK",
"state": "WA",
"postal_code": "983391566",
"telephone_number": "360-379-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 OAK BAY ROAD",
"city": "PORT HADLOCK",
"state": "WA",
"postal_code": "98339",
"telephone_number": "360-379-6737",
"fax_number": "360-379-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTENBURG",
"first_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9650870",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Hadlock, WA
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.