Active NPI
Jennifer Le, RN, NP
- Women's Health Nurse Practitioner
- Coachella, CA
National Provider Identifier
1003390519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95010516
- Practice address
- 49-111 Ca-111 #6a
Coachella, CA 92236 - Phone
- (888) 743-7526
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 217526 | TN | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 95176089 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 95010516 | CA | Primary |
Addresses
Primary practice location
49-111 Ca-111 #6a
Coachella, CA 92236
Mailing address
45210 Panorama Dr Apt 3
Palm Desert, CA 92260-4401
Phone (619) 471-4799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 N Palm Canyon Dr
Suite 106
Palm Springs, CA 92262-4418
Phone (760) 327-1188
1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217526 | TN | MD | Registered Nurse |
| 95176089 | CA | MD | Ambulatory Women's Health Care Registered Nurse |
| 95010516 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | Accepting new patients | |
| Dap Health, Inc. | Current | Accepting new patients | |
| Planned Parenthood of the Pacific Southwest | Past | Accepting new patients | |
| Planned Parenthood of Greater New York Inc | Past | Accepting new patients |
Locations
1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
-
- Federally Qualified Health Center (FQHC)
- Cathedral City, CA
- NPI 1386180404
-
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1942623657
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1427081652
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1003390519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45210 PANORAMA DR APT 3",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604401",
"telephone_number": "619-471-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49-111 CA-111 #6A",
"city": "COACHELLA",
"state": "CA",
"postal_code": "92236",
"telephone_number": "888-743-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "JENNIFER",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "217526",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "95176089",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95010516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coachella, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.