Active NPI
Jennifer Marie Lightner-Farrell
- Student in an Organized Health Care Education/Training Program
- Santa Ana, CA
National Provider Identifier
1073166146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 600 W Santa Ana Blvd Ste 510
Santa Ana, CA 92701-4511 - Phone
- (714) 667-5638
- NPI assigned
- Jul 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
600 W Santa Ana Blvd Ste 510
Santa Ana, CA 92701-4511
Mailing address
1111 N. Glenhaven Ave.
Fullerton, CA 92835
Phone (909) 579-9739
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1073166146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N. GLENHAVEN AVE.",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "909-579-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W SANTA ANA BLVD STE 510",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014511",
"telephone_number": "714-667-5638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTNER-FARRELL",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
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- Lifestream Hope & Wellness Center, Inc.
- Lifetime Value Pharmacy III, Inc.
- Katrina Ligon
- Lili Mirtorabi, D.D.S., a Professional Corporation
- Silvia Isabel Lilly
- Lily Tulan Tran, DDS, a Professional Dental Corpopration
- Jennifer Ang Lim-Quevedo, N.P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.