Jenna Rose Mendiburu

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2259 Myrtle Ave
Eureka, CA 95501-3325

Phone

(707) 444-8293

NPI assigned

Feb 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Rose Lourenzo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1356733539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013325",
            "telephone_number": "707-444-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013325",
            "telephone_number": "707-444-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIBURU",
        "first_name": "JENNA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "LOURENZO",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Magen May Mefferd
• Meredith Irene Meftah, FNP-C
• Stephanie R Mellen
• Mary Melvin
• Leslie Xiomara Mendez, MS, AMFT
• Briana Mendivil
• Simcha Mendle
• Julia Mendoza
• Trisha Mendoza
• Camille Menino, CRNP

• Case Manager/Care Coordinator in Eureka, CA
• Providers in Eureka, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.