Jennifer Elizabeth Updyke, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN.282847 NP-09118 Issued in OH

Practice address

280 Looney Rd
Suite101
Piqua, OH 45356-4199

Phone

(937) 440-4000

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1831261940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ARBOR AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201908",
            "telephone_number": "937-258-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD",
            "address_2": "SUITE101",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-440-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDYKE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "RN.282847  NP-09118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Upper Valley Family Care, Inc
• Upper Valley Professional Corporation (Pediatric Group)
• Urgent Care Specialists, LLC (Hometown Urgent Care LLC)
• Uvpc Specialists, Inc (Upper Valley Women's Center)

• Pediatric Nurse Practitioner in Piqua, OH
• Providers in Piqua, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.