Active NPI
Jenny Lee Sisler
- Community Health Worker
- Concord, CA
National Provider Identifier
1407412620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2975 Treat Blvd Ste C5
Concord, CA 94518-3631 - Phone
- (925) 768-3735
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2975 Treat Blvd Ste C5
Concord, CA 94518-3631
Mailing address
2280 Diamond Blvd Ste 500
Concord, CA 94520-5719
Phone (925) 503-7240
Other practice location 1
2280 Diamond Blvd Ste 500
Concord, CA 94520-5719
Phone (925) 768-3735 ext. 92550
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1407412620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 DIAMOND BLVD STE 500",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205719",
"telephone_number": "925-503-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 TREAT BLVD STE C5",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183631",
"telephone_number": "925-768-3735"
}
],
"practiceLocations": [
{
"address_1": "2280 Diamond Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945205719",
"country_code": "US",
"telephone_number": "925-768-3735 x92550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SISLER",
"first_name": "JENNY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.