JASON RITENOUR NP NPI 1770167850

NPI Information

NPI: 1770167850
Provider Name: JASON RITENOUR, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2675 WINKLER AVE FL 2
FORT MYERS, FL
ZIP 33901
Phone: (844) 225-5674
Get Directions

Jason Ritenour, NP is a family nurse practitioner in Fort Myers, FL with 3 years of experience. Jason Ritenour, NP NPI is 1770167850. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2675 WINKLER AVE FL 2
FORT MYERS, FL
ZIP 33901-342
Phone: (844) 225-5674

The NPI 1770167850 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 5/5/2021 and was last updated on 9/22/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	71011474A	INDIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11012847	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	APRN11012847	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300053890	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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