Individual provider Active NPI

Jennifer Ann Curtis, ARNP

  • Family Nurse Practitioner
  • Paradise, CA
National Provider Identifier
1215162540
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23186 Issued in CA
Practice address
6470 Pentz Rd
Paradise, CA 95969-3674
Phone
(530) 876-7811
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 23186 CA Primary

Addresses

Primary practice location

6470 Pentz Rd
Paradise, CA 95969-3674

Mailing address

6470 Pentz Rd
Paradise, CA 95969-3674
Phone (530) 876-7811

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
I20131220001190 CA Practitioner - Nurse Practitioner 5991855496 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Medical Group, Inc. CurrentSince Sep 10, 2013 Accepting new patients
County of St Louis Division of Fiscal Management Past Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients

Locations

6470 Pentz Rd
Ste A
Paradise, CA 95969
Phone (530) 872-6655

6470 Pentz Rd
Paradise, CA 95969
Phone (530) 876-7811

5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000

6460 Pentz Rd
Ste C
Paradise, CA 95969
Phone (530) 221-1312

6480 Pentz Rd
Ste B
Paradise, CA 95969
Phone (530) 877-9326

Interoperability endpoints

  • Direct secure messaging: jennifer.curtis.1@10649.direct.athenahealth.com

Organizations & group practices 3

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1215162540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 PENTZ RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693674",
            "telephone_number": "530-876-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 PENTZ RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693674",
            "telephone_number": "530-876-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.