Individual provider Active NPI

Jillian Dawn Loewen, NP

  • Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1154609600
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20780 Issued in CA
Practice address
2954 State St
Santa Barbara, CA 93105-3418
Phone
(805) 682-7411
Fax
(805) 682-6933
NPI assigned
Aug 2, 2011
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20780 CA Primary

Addresses

Primary practice location

2954 State St
Santa Barbara, CA 93105-3418

Mailing address

522 Dentro Dr
Santa Barbara, CA 93111-1818
Phone (805) 637-9034

Other names 1

  • Ms. Jillian Dawn Frederiksen Former name

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1154609600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 DENTRO DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111818",
            "telephone_number": "805-637-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053418",
            "telephone_number": "805-682-7411",
            "fax_number": "805-682-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWEN",
        "first_name": "JILLIAN",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "FREDERIKSEN",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.