Individual provider Active NPI

Jennifer Jean Donwerth, ANP-BC, GNP-BC

  • Adult Health Nurse Practitioner
  • Bluff Dale, TX
National Provider Identifier
1851469654
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
587490 Issued in TX
Practice address
1655 Autumn Valley
Bluff Dale, TX 76433-0308
Phone
(254) 728-3132
Fax
(254) 728-3133
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 587490 TX Primary
Gerontology Nurse Practitioner 363LG0600X 587490 TX

Addresses

Primary practice location

1655 Autumn Valley
Bluff Dale, TX 76433-0308

Mailing address

PO Box 308
Bluff Dale, TX 76433-0308
Phone (254) 728-3132

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

LicenseStateTypeSpecialty
587490TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor University Medical Center Past Accepting new patients
Joseph Zadeh DO Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851469654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "BLUFF DALE",
            "state": "TX",
            "postal_code": "764330308",
            "telephone_number": "254-728-3132",
            "fax_number": "254-728-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 AUTUMN VALLEY",
            "city": "BLUFF DALE",
            "state": "TX",
            "postal_code": "764330308",
            "telephone_number": "254-728-3132",
            "fax_number": "254-728-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONWERTH",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "ANP-BC, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "587490",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "587490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluff Dale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.