Jerie Mae Ibale

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95014911 Issued in CA

Practice address

5901 E 7TH St
Long Beach, CA 90822-5201

Phone

(562) 826-8000

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Starbright Hospice, Inc.

  • Community Based Hospice Care Agency
  • Buena Park, CA
  • NPI 1285014670
  NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1497348304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 ASHWORTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121330",
            "telephone_number": "562-682-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908225201",
            "telephone_number": "562-826-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBALE",
        "first_name": "JERIE MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95014911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeriemae.ibale@va.gov",
            "affiliation": "N",
            "address_1": "5901 E 7th St",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908225201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• I See Optometry
• I Zak DDS Prof Dental Corp
• Carol N Iannessa, PT
• Suzanne Patrice Iazzetta
• Ibalanceme
• Nishma Ibanez
• Ayleen Ibarra
• Brenda Ibarra
• Irma S Ibarra, MEDICAL ASSISTANT
• Jazmin Cristal Ibarra

• Primary Care Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.