Active NPI
Jeffrey Alexander Ott, F.N.P.
- Family Nurse Practitioner
- Weed, CA
National Provider Identifier
1447506472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21953
- Practice address
- 16337 Everhart Dr
Weed, CA 96094-9400 - Phone
- (530) 938-2297
- Fax
- (530) 938-0494
- NPI assigned
- Jul 27, 2012
- Last updated
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21953 | CA | Primary |
Addresses
Primary practice location
16337 Everhart Dr
Weed, CA 96094-9400
Mailing address
16337 Everhart Dr
Weed, CA 96094-9400
Phone (530) 938-2297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211104003161 | CA | Order and Referring Only - Nurse Practitioner | 5092096651 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21953 | CA | MD | Professional Counselor |
Interoperability endpoints
- jeffott@shingletow.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1447506472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16337 EVERHART DR",
"city": "WEED",
"state": "CA",
"postal_code": "960949400",
"telephone_number": "530-938-2297",
"fax_number": "530-938-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16337 EVERHART DR",
"city": "WEED",
"state": "CA",
"postal_code": "960949400",
"telephone_number": "530-938-2297",
"fax_number": "530-938-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "JEFFREY",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weed, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.