Individual provider Active NPI

Ji in Han, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tulare, CA
National Provider Identifier
1497530828
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95026863 Issued in CA
Practice address
141 N K St
Tulare, CA 93274-4003
Phone
(559) 366-4494
Fax
(559) 588-4548
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95026863 CA Primary
Family Nurse Practitioner 363LF0000X 95041167 CA

Addresses

Primary practice location

141 N K St
Tulare, CA 93274-4003

Mailing address

5137 Lakewood Dr
Visalia, CA 93291-9016
Phone (805) 406-4915

Other practice location 1

512 N Court St
Visalia, CA 93291-4913
Phone (559) 754-3011

Other practice location 2

882 W Henderson Ave
Porterville, CA 93257-1774
Phone (559) 342-9055

Other practice location 3

530 Kings County Dr Ste 102
Hanford, CA 93230-5954
Phone (559) 415-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512003598 CA Practitioner - Nurse Practitioner 0244709913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

180 W Bullard Ave
Suite 102
Clovis, CA 93612-0998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95041167CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcure, Inc CurrentSince Aug 3, 2025 Accepting new patients
Achievements Unlimited Clinical Psychology Services, Inc. CurrentSince Aug 3, 2025 Accepting new patients

Locations

106 Pollasky Ave
Ste D
Clovis, CA 93612
Phone (559) 203-3775

141 N K St
Tulare, CA 93274
Phone (559) 366-4494

512 N Court St
Visalia, CA 93291
Phone (559) 203-3775

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1497530828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 LAKEWOOD DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919016",
            "telephone_number": "805-406-4915",
            "fax_number": "559-751-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N K ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932744003",
            "telephone_number": "559-366-4494",
            "fax_number": "559-588-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 N Court St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914913",
            "country_code": "US",
            "telephone_number": "559-754-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "882 W Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932571774",
            "country_code": "US",
            "telephone_number": "559-342-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Kings County Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305954",
            "country_code": "US",
            "telephone_number": "559-415-6588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "JI IN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95026863",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95041167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.