Individual provider Active NPI

Jean Jennifer J Soliven, RN, BSN, PHN

  • Case Management Registered Nurse
  • San Jose, CA
National Provider Identifier
1518217017
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
806599 Issued in CA
Practice address
614 Tully Rd.
San Jose, CA 95111
Phone
(408) 494-7537
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 806599 CA Primary

Addresses

Primary practice location

614 Tully Rd.
San Jose, CA 95111

Mailing address

1255 San Tomas Aquino Rd., #207
San Jose, CA 95117
Phone (408) 899-4558

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
806599CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1518217017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 SAN TOMAS AQUINO RD., #207",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95117",
            "telephone_number": "408-899-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 TULLY RD.",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95111",
            "telephone_number": "408-494-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIVEN",
        "first_name": "JEAN JENNIFER",
        "middle_name": "J",
        "credential": "RN, BSN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "806599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.