Elizabeth Jensen, APRN, DNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

000189 Issued in CT

Practice address

120 Simsbury Rd Ste B
Avon, CT 06001-3735

Phone

(860) 674-0111

Fax

(860) 674-5406

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mark S Stagg DC LLC

  • Chiropractor
  • Farmington, CT
  • NPI 1245289438
  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1902912827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SIMSBURY RD STE 12B",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013735",
            "telephone_number": "860-674-0111",
            "fax_number": "860-674-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SIMSBURY RD STE B",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013735",
            "telephone_number": "860-674-0111",
            "fax_number": "860-674-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ELIZABETH",
        "credential": "APRN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "CT",
            "license": "002310",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CT",
            "license": "000189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004205440",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcin Jaremko, M.D.
• Christiana Tieara Jefferson, LMSW
• Jennifer Dimaio, LCSW LLC
• Jennifer M. Lapenta, LCSW, L.L.C.
• Morgan Lee Jennings, APRN
• JM Medical Consulting LLC
• Rachel Cristina Joao
• John a. Bierly DMD and Peter J. Peterson DMD, PC
• Priya Anne John, DMD
• Debra V Johnson, APRN

• Obstetrics & Gynecology Nurse Practitioner in Avon, CT
• Providers in Avon, CT by specialty
• Obstetrics & Gynecology Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.