Jill Annette Jarvie, RN, CNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

2836 Issued in CA

Practice address

99 Montecillo Rd
Nursing Education, Trailer 10
San Rafael, CA 94903-3308

Phone

(415) 444-4951

Fax

(415) 444-4760

NPI assigned

Apr 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Registered Nurse

State licenses

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1487912663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MONTECILLO RD",
            "address_2": "NURSING EDUCATION, TRAILER 10",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033308",
            "telephone_number": "415-444-4951",
            "fax_number": "415-444-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MONTECILLO RD",
            "address_2": "NURSING EDUCATION, TRAILER 10",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033308",
            "telephone_number": "415-444-4951",
            "fax_number": "415-444-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIE",
        "first_name": "JILL",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "585139",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Greathead Janko, MFTI
• Bradley Glenn Jann, D.P.M
• Laura Ann Janssen, NP RN CNM
• Alan Nmi Jarach, MD
• Kathleen Mary Teresa Jarosz, MSW
• Thomas Sterling Jarvis, DDS
• Iain Rene Jasko, MA
• Hamed Javadi, D.D.S
• Dominique Javier
• Laurie Javier

• Clinical Nurse Specialist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.