Active NPI
Jerri Pina, R.N.
- Registered Nurse
- San Luis Obispo, CA
National Provider Identifier
1104080647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 592249
- Practice address
- 2178 Johnson Ave.
San Luis Obispo, CA 93401-4535 - Phone
- (805) 781-4752
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 592249 | CA | Primary |
Addresses
Primary practice location
2178 Johnson Ave.
San Luis Obispo, CA 93401-4535
Mailing address
1801 Rambouillet Rd
Paso Robles, CA 93446-4804
Phone (805) 239-9679
Other names 1
- Jerri Estes
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592249 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1104080647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 RAMBOUILLET RD",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934464804",
"telephone_number": "805-239-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2178 JOHNSON AVE.",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014535",
"telephone_number": "805-781-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "JERRI",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "592249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERRI",
"last_name": "ESTES",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.