Active NPI
Jerrica Nadine Benedix
- Case Manager/Care Coordinator
- Vallejo, CA
National Provider Identifier
1114428109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290 - Phone
- (707) 978-0347
- NPI assigned
- Feb 24, 2018
- Last updated
- Aug 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290
Mailing address
160 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7290
Phone (707) 978-0347
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": "1519430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1114428109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 GLEN COVE MARINA RD E STE 102",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945917290",
"telephone_number": "707-978-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 GLEN COVE MARINA RD E STE 102",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945917290",
"telephone_number": "707-978-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDIX",
"first_name": "JERRICA",
"middle_name": "NADINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-24",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
- Daniel Marvin Bell, RN, CRNA, DNP
- Richard Edwin Bell, MD
- Paul Bellazain, CES
- Jorge Belloso-Curiel, LCSW
- Danna Betzabeth Benavides
- Benjamin Healthcare (Comprehensive Home Healthcare & Hospice)
- Benjamin Healthcare (Crossroads Hospice Vallejo)
- Amina Benkhelouf
- Yasmin Bennett-Jackson
- Jamie Bennett, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.