Active NPI
Jacob Couture
- Registered Nurse
- San Diego, CA
National Provider Identifier
1194332122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95227776
- Practice address
- 4309 3Rd Ave
San Diego, CA 92103-1407 - Phone
- (619) 876-4502
- NPI assigned
- Sep 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95227776 | CA | Primary |
Addresses
Primary practice location
4309 3Rd Ave
San Diego, CA 92103-1407
Mailing address
10725 Red Cedar Dr
San Diego, CA 92131-1203
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 |
|---|---|---|---|
| 95227776 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1194332122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10725 RED CEDAR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031407",
"telephone_number": "619-876-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUTURE",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95227776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Courtney Muir Licensed Marriage & Family Therapist Professional Corp
- Jessica Courtney, RBT
- Larry Michael Cousins, M.D.
- Liliana Del Carmen Recalde Cousins, MD
- Richard D. Coutts, M.D.
- Sara Covarrubias de Hernandez, RN
- Irma Y. Covarrubias-Lugo, MD
- Adriana Covarrubias, MA, OTR/L
- Alyssa Itzel Covarrubias
- Brandy Marie Covarrubias, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.