Active NPI
Marie Lee Kathleen Jean
- Licensed Practical Nurse
- Los Angeles, CA
National Provider Identifier
1285109355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 95000201
- Practice address
- 441 Bauchet St
Los Angeles, CA 90012-2906 - Phone
- (213) 972-2205
- NPI assigned
- Oct 4, 2018
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 95000201 | CA | Primary |
Addresses
Primary practice location
441 Bauchet St
Los Angeles, CA 90012-2906
Mailing address
270 San Marcos St Apt V
San Gabriel, CA 91776-1046
Phone (562) 756-4034
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 |
|---|---|---|---|
| 95000201 | CA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1285109355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 SAN MARCOS ST APT V",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761046",
"telephone_number": "562-756-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 BAUCHET ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122906",
"telephone_number": "213-972-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "MARIE LEE KATHLEEN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "95000201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Jean Lundquist Licensed Clinical Social Worker, Professional Corp.
- Jean S. Collazo, D.C. Inc
- Jacqueline Jean-Baptiste, CPD
- Jean-Louis Le Renard, M.D. Inc.
- Jeffrey Jean
- Debra Devoe Jeandron, MD
- Jeanne Young, PHD, a Psychological Corporation
- Jeannemarie Leone, PSYD, Clinical Psychologist, PC
- Maria Elena Jeanniton, RN
- Travis Earl Jeans
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.