Individual provider Active NPI

Jennifer Lynne Cenna, MSN RN CNP

  • Adult Health Nurse Practitioner
  • Kirtland, OH
National Provider Identifier
1902109135
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA. 12954-NP Issued in OH
Practice address
9685 Chillicothe Rd
Kirtland, OH 44094-8503
Phone
(440) 256-8100
Fax
(440) 256-8104
NPI assigned
Dec 9, 2010
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 COA. 12954-NP OH Primary
Medical-Surgical Registered Nurse 163WM0705X 167299 OH

Addresses

Primary practice location

9685 Chillicothe Rd
Kirtland, OH 44094-8503

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 256-8100

Other identifiers 1

IdentifierTypeStateIssuer
0069265MedicaidOH

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 Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
167299OHMDAddiction (Substance Use Disorder) Counselor
COA. 12954-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Past Accepting new patients
Primary Nurse Practitioner Inc PastSince Jul 6, 2007 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1902109135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-256-8100",
            "fax_number": "440-256-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 CHILLICOTHE RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "440948503",
            "telephone_number": "440-256-8100",
            "fax_number": "440-256-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENNA",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "MSN RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA. 12954-NP",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "167299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.