Active NPI
Jeanette Amezquita, RN, MSN, FNP-C
- Family Nurse Practitioner
- Richmond, CA
National Provider Identifier
1326304403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18830
- Practice address
- 3065 Richmond Parkway
Suite 101
Richmond, CA 94806 - Phone
- (510) 758-7462
- Fax
- (510) 758-7454
- NPI assigned
- Apr 3, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18830 | CA | Primary |
Addresses
Primary practice location
3065 Richmond Parkway
Suite 101
Richmond, CA 94806
Mailing address
3065 Richmond Parkway
Suite 101
Richmond, CA 94806
Phone (510) 758-7462
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18830 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1326304403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3065 RICHMOND PARKWAY",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-758-7462",
"fax_number": "510-758-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 RICHMOND PARKWAY",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-758-7462",
"fax_number": "510-758-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEZQUITA",
"first_name": "JEANETTE",
"credential": "RN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "18830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.