Active NPI
Jennifer H. Atzen, ARNP,CNM
- Advanced Practice Midwife
- Davenport, IA
National Provider Identifier
1740489855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- B-101469
- 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, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B-101469 | Other | IA | LICENSE |
Other names 1
- Jennifer H. Hunt
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
| License | State | Type | Specialty |
|---|---|---|---|
| B-101469 | IA | MD | Advanced Practice Midwife |
| B101469 | IA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics and Gynecology Specialists PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Davenport, IA
- NPI 1427003011
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.