Provider Type Icon

ELLEN B JATINEN NP NPI 1003821166


NPI Information

NPI: 1003821166
Provider Name: ELLEN B JATINEN, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
6836 BEE CAVES RD
BLDG. 3 STE. 150
AUSTIN, TX
ZIP 78746
Phone: (512) 375-2555
Get Directions

Ellen B Jatinen, NP is a women's health nurse practitioner in Austin, TX with 30 years of experience. Ellen B Jatinen, NP NPI is 1003821166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

6836 BEE CAVES RD
BLDG. 3 STE. 150
AUSTIN, TX
ZIP 78746-059
Phone: (512) 375-2555
Fax: (512) 485-1053

The NPI 1003821166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 10/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's HealthAP110073TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1158616606MEDICAIDTEXAS
2158616601MEDICAIDTEXAS
3158616603MEDICAIDTEXAS
48L20234MEDICARE PINTEXAS
5500030041MEDICARE PINTEXAS
6158616604MEDICAIDTEXAS
78A3786MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.