Active NPI
Janice Ann Oliver, RN, PHN
- Case Management Registered Nurse
- La Mesa, CA
National Provider Identifier
1396367140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 786506
- Practice address
- 4393 Date Ave
La Mesa, CA 91941-6412 - Phone
- (619) 518-4812
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 786506 | CA | Primary |
Addresses
Primary practice location
4393 Date Ave
La Mesa, CA 91941-6412
Mailing address
4393 Date Ave
La Mesa, CA 91941-6412
Phone (619) 518-4812
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
| License | State | Type | Specialty |
|---|---|---|---|
| 786506 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1396367140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4393 DATE AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919416412",
"telephone_number": "619-518-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4393 DATE AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919416412",
"telephone_number": "619-518-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "JANICE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN, PHN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "786506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.