Individual provider Active NPI

Jeanette Mort-Troise, RN

  • Registered Nurse
  • Wilmington, DE
National Provider Identifier
1952605214
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L1-0010413 Issued in DE
Practice address
1902 Maryland Ave
Wilmington, DE 19805-4605
Phone
(302) 655-7109
Fax
(302) 655-0689
NPI assigned
Dec 30, 2010
Last updated
Dec 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0010413 DE Primary

Addresses

Primary practice location

1902 Maryland Ave
Wilmington, DE 19805-4605

Mailing address

1902 Maryland Ave
Wilmington, DE 19805-4605
Phone (302) 655-7109

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0010413DEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1952605214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7109",
            "fax_number": "302-655-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-655-7109",
            "fax_number": "302-655-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORT-TROISE",
        "first_name": "JEANETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0010413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.