Individual provider Active NPI

Julie Gerseth, RN

  • Registered Nurse
  • San Jose, CA
National Provider Identifier
1376033324
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95098965 Issued in CA
Practice address
1901 Monterey Hwy Ste 10
San Jose, CA 95112-6126
Phone
(408) 477-8080
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95098965 CA Primary

Addresses

Primary practice location

1901 Monterey Hwy Ste 10
San Jose, CA 95112-6126

Mailing address

2737 Walsh Ave
Santa Clara, CA 95051-0965
Phone (408) 803-1918

Other practice location 1

2737 Walsh AVenue
Santa Clara, CA 95051
Phone (408) 803-1918

Other identifiers 1

IdentifierTypeStateIssuer
95098965OtherCACA BOARD OF NURSING

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95098965CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1376033324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 WALSH AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510965",
            "telephone_number": "408-803-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MONTEREY HWY STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126126",
            "telephone_number": "408-477-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2737 Walsh AVenue",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "95051",
            "country_code": "US",
            "telephone_number": "408-803-1918",
            "fax_number": "408-228-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSETH",
        "first_name": "JULIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95098965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF NURSING",
            "identifier": "95098965",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.