Individual provider Active NPI

Jennifer Marie Leavens Washburn, NP

  • Family Nurse Practitioner
  • Ceres, CA
National Provider Identifier
1154650927
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19291 Issued in CA
Practice address
2519 E Whitmore Ave
Ceres, CA 95307-2634
Phone
(209) 537-4700
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19291 CA Primary

Addresses

Primary practice location

2519 E Whitmore Ave
Ceres, CA 95307-2634

Mailing address

221 Memory LN
Turlock, CA 95382-7272
Phone (209) 918-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100605000218 CA Practitioner - Nurse Practitioner 3971633751 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Dec 15, 2023 Accepting new patients
Cep America - California Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center CurrentSince Dec 15, 2023 Accepting new patients
Cep America-California CurrentSince Jan 1, 2011 Accepting new patients
Cep America - California CurrentSince Jan 1, 2011 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 27)

1920 Memorial Dr
Ceres, CA 95307
Phone (209) 538-1096

2519 E Whitmore Ave
Ceres, CA 95307
Phone (209) 537-4700

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Ste 102
Manteca, CA 95336
Phone (209) 239-5299

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1510 Florida Ave
Ste A
Modesto, CA 95350
Phone (209) 492-7150

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1154650927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MEMORY LN",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953827272",
            "telephone_number": "209-918-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 E WHITMORE AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072634",
            "telephone_number": "209-537-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE LEAVENS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.