Individual provider Active NPI

Jeanne M Bartel, A.N.P.

  • Adult Health Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1891045738
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
152527 Issued in MA
Practice address
62 Whittemore Ave
Cambridge, MA 02140-1623
Phone
(617) 498-4963
NPI assigned
Sep 19, 2012
Last updated
Dec 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 152527 MA Primary

Addresses

Primary practice location

62 Whittemore Ave
Cambridge, MA 02140-1623

Mailing address

62 Whittemore Ave
Cambridge, MA 02140-1623
Phone (617) 498-4963

Other names 1

  • Jeanne M Iwata 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
152527MAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1891045738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WHITTEMORE AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401623",
            "telephone_number": "617-498-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WHITTEMORE AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401623",
            "telephone_number": "617-498-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEL",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "A.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "152527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "IWATA",
            "middle_name": "M",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.