JACQUELINE DEGEN (NPI# 1508416173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508416173 |
| Entity Type | Individual |
| Full Name | JACQUELINE DEGEN |
| Credential | AGACNP-BC |
| Practice Address |
580 Lincoln Park Boulevard Suite 320 Kettering OH 45429-3493 |
| Mailing Address |
422 S Broadway St Spencerville OH 45887-1329 |
| Practice Telephone | 9372996980 |
| Mailing Telephone | 4192309861 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.023831 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
580 LINCOLN PARK BOULEVARD SUITE 320 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285293142 | Jacqueline Delaine Adrian | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-06-13 |
| 1972060424 | Asia Richardson | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2019-02-20 |
| 1912480229 | Stephanie A Harris | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2018-09-12 |
| 1487131348 | Meghan Dean | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2018-07-24 |
| 1497264881 | Lucy Xayathone | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-09-28 |
| 1639698962 | Leah Marie Liddy | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-09-19 |
| 1093243420 | Eric E Bowers | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-05-30 |
| 1225565351 | Ashley Renee Miner | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-05-19 |
| 1144679937 | Nicholas Adrian | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-06-13 |
| 1528428802 | Mary Tankersley | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-03-01 |
| Find all providers in KETTERING | ||||
Please comment or provide details below to improve the information on JACQUELINE DEGEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.