Active NPI
Jennifer Michelle Villafuerte, CMT
- Peer Specialist
- Fair Oaks, CA
National Provider Identifier
1174186134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 5319 Sunrise Blvd
Fair Oaks, CA 95628-3539 - Phone
- (916) 965-3689
- NPI assigned
- Apr 16, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33179 | CA | |
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
5319 Sunrise Blvd
Fair Oaks, CA 95628-3539
Mailing address
9794 Utica CT
Sacramento, CA 95827-2717
Phone (916) 410-6226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33179 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1174186134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9794 UTICA CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272717",
"telephone_number": "916-410-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 SUNRISE BLVD",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283539",
"telephone_number": "916-965-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAFUERTE",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "33179",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.