Individual provider Active NPI

Jennifer H. Atzen, ARNP,CNM

  • Advanced Practice Midwife
  • Davenport, IA
National Provider Identifier
1740489855
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B-101469 Issued in IA
Practice address
5350 Eastern Ave
Davenport, IA 52807-2709
Phone
(563) 355-1853
Fax
(563) 359-1512
NPI assigned
Jul 18, 2007
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X B-101469 IA Primary
Advanced Practice Midwife 367A00000X B101469 IA

Addresses

Primary practice location

5350 Eastern Ave
Davenport, IA 52807-2709

Mailing address

5350 Eastern Ave
Davenport, IA 52807-2709
Phone (563) 355-1853

Other identifiers 1

IdentifierTypeStateIssuer
B-101469OtherIALICENSE

Other names 1

  • Jennifer H. Hunt Former name

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 Midwife

State licenses

LicenseStateTypeSpecialty
B-101469IAMDAdvanced Practice Midwife
B101469IAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics and Gynecology Specialists PC PastSince Sep 3, 1991 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1740489855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853",
            "fax_number": "563-359-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853",
            "fax_number": "563-359-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATZEN",
        "first_name": "JENNIFER",
        "middle_name": "H.",
        "credential": "ARNP,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B-101469",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B101469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "B-101469",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HUNT",
            "middle_name": "H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.