Ae Annye Senethachith, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

548376 Issued in CA

Practice address

690 Oxford St
Suite H
Chula Vista, CA 91911-7111

Phone

(619) 409-3135

Fax

(619) 409-3388

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295855708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 PITCAIRN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541519",
            "telephone_number": "619-271-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OXFORD ST",
            "address_2": "SUITE H",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117111",
            "telephone_number": "619-409-3135",
            "fax_number": "619-409-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENETHACHITH",
        "first_name": "AE",
        "middle_name": "ANNYE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "548376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.