Individual provider Active NPI

Jennifer Elizabeth Pacheco, FNP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1386078780
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP23380 Issued in CA
Practice address
3435 S Demaree St Ste a
Visalia, CA 93277-7006
Phone
(559) 901-9537
NPI assigned
Aug 21, 2013
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP23380 CA
Family Nurse Practitioner 363LF0000X NP23380 CA Primary

Addresses

Primary practice location

3435 S Demaree St Ste a
Visalia, CA 93277-7006

Mailing address

3435 S Demaree St Ste a
Visalia, CA 93277-7006
Phone (559) 746-7337

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP23380CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Pediatrics Medical, P.C. Current Accepting new patients
Milestone Pediatrics, Inc. CurrentSince May 16, 2021 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

3435 S Demaree St
Visalia, CA 93277

3435 S Demaree St
Ste A
Visalia, CA 93277
Phone (559) 746-7337

Interoperability endpoints

  • Direct secure messaging: jenniferpacheco@trimed.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1386078780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S DEMAREE ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777006",
            "telephone_number": "559-746-7337",
            "fax_number": "559-746-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S DEMAREE ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777006",
            "telephone_number": "559-901-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP23380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP23380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.