Individual provider Active NPI

Terri Jones-Picazo, RN

  • Registered Nurse
  • Santa Cruz, CA
National Provider Identifier
1568085272
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
671811 Issued in CA
Practice address
2880 Soquel Ave Ste 1
Santa Cruz, CA 95062-1423
Phone
(831) 479-6677
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 671811 CA Primary

Addresses

Primary practice location

2880 Soquel Ave Ste 1
Santa Cruz, CA 95062-1423

Mailing address

2880 Soquel Ave Ste 1
Santa Cruz, CA 95062-1423
Phone (831) 479-6677

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
671811CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1568085272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 SOQUEL AVE STE 1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621423",
            "telephone_number": "831-479-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SOQUEL AVE STE 1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621423",
            "telephone_number": "831-479-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-PICAZO",
        "first_name": "TERRI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "671811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.