Individual provider Active NPI

Jennifer Ann Casey, R.N.

  • Registered Nurse
  • Orangevale, CA
National Provider Identifier
1376834986
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
795592 Issued in CA
Practice address
8941 Cape Windham PL
Orangevale, CA 95662-4162
Phone
(916) 220-7976
Fax
(916) 987-7447
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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 795592 CA Primary

Addresses

Primary practice location

8941 Cape Windham PL
Orangevale, CA 95662-4162

Mailing address

8941 Cape Windham PL
Orangevale, CA 95662-4162
Phone (916) 220-7976

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
795592CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1376834986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8941 CAPE WINDHAM PL",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624162",
            "telephone_number": "916-220-7976",
            "fax_number": "916-987-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 CAPE WINDHAM PL",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624162",
            "telephone_number": "916-220-7976",
            "fax_number": "916-987-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "795592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.