Active NPI
Jillian Dawn Loewen, NP
- Nurse Practitioner
- Santa Barbara, CA
National Provider Identifier
1154609600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20780
- 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, 2012
- 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 |
|---|---|---|---|---|
| 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
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.