Jennifer Mathney, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

602769 Issued in CA

Practice address

638 Main Street
Ferndale, CA 95536-1157

Phone

(707) 786-4028

Fax

(707) 786-9029

NPI assigned

Jan 7, 2019

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1093288649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST STE 203",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216249",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MAIN STREET",
            "city": "FERNDALE",
            "state": "CA",
            "postal_code": "955361157",
            "telephone_number": "707-786-4028",
            "fax_number": "707-786-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHNEY",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "602769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Grinsell, MAT, ATC
• Katherine Hackett
• Colleen Marie Hough, RD
• Heather Rose Johnson
• Margaret Victoria Lee, PA
• Open Door Community Health Centers (Ferndale Community Health Center)
• Shawna Owsley, RN
• Jacklyn Ruth Perlenfein
• Rings Pharmacy
• Christine Ross, RN

• Registered Nurse in Ferndale, CA
• Providers in Ferndale, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.