Jennifer Margaret Annetta, NP-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4704212648 Issued in MI

Practice address

1103 N Main St Ste E
Esprit Women'S Health
Royal Oak, MI 48067-1363

Phone

(248) 399-7675

NPI assigned

Nov 10, 2011

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1831476480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N MAIN ST STE E",
            "address_2": "ESPRIT WOMEN'S HEALTH",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671363",
            "telephone_number": "248-399-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N MAIN ST STE E",
            "address_2": "ESPRIT WOMEN'S HEALTH",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671363",
            "telephone_number": "248-399-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNETTA",
        "first_name": "JENNIFER",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704212648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jannetta7591@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1103 N Main St Ste E",
            "address_2": "Esprit Women's Health",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480671363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allyson Doll Andrews
• Lisa Carolyn Andrews, LPC, NCC
• Arianna Katrina Angell, CRNA
• Anil K Gupta M D PLC
• Ann M. Renard, PHD LP PC
• Khalil Anouti, MD
• Anthony Iacco MD PLC
• Oana Anton, M.D.
• Antonino S. Abate DDS PC
• Sandy Antoun, NP

• Women's Health Nurse Practitioner in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Women's Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.