Jennifer Hope Levine, PHYSICIAN ASSISTANT-

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21309 Issued in CA

Practice address

838 Nordahl Rd Ste 300
San Marcos, CA 92069-3599

Phone

(760) 747-8935

Fax

(760) 466-0078

NPI assigned

Jun 27, 2008

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDCDAA/Endpoint/JDCDAA
• Direct secure messaging: jlevine40111@direct.med.miami.edu

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1316109614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 300",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693599",
            "telephone_number": "760-747-8935",
            "fax_number": "760-466-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 NW 14th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331362107",
            "country_code": "US",
            "telephone_number": "305-243-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JENNIFER",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT-",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108817",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21309",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Lesage
• Samuel Thomas Lesniewski
• Neda Levi, MA, MSW, ACSW, LCSW
• Carolyn Levin, MD
• Wallis Erica Levin, B.A.
• Lorraine Vivienne Levy, PT
• Sharon B. Levy, NURSE PRACTITIONER
• Charise Annette Lewis
• Isabella Lewis
• Alana J Lewison, LCSW

• Physician Assistant in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.