Active NPI
Jennifer Anne Anderson, RN
- Doula
- Davis, CA
National Provider Identifier
1568148609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 4511 San Marino Dr
Davis, CA 95618-5014 - Phone
- (530) 902-3396
- NPI assigned
- Jun 23, 2023
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 633849 | CA | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
4511 San Marino Dr
Davis, CA 95618-5014
Mailing address
4511 San Marino Dr
Davis, CA 95618-5014
Phone (530) 902-3396
Other practice location 1
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
Other practice location 2
4301 X St
Sacramento, CA 95817-2214
Phone (916) 734-2011
Other practice location 3
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-0000
Other practice location 4
1325 Cottonwood St
Woodland, CA 95695-5131
Phone (530) 662-3961
Other practice location 5
1600 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 784-4000
Other practice location 6
2000 Sutter Pl
Davis, CA 95616-6201
Phone (530) 759-7444
Other practice location 7
1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 633849 | Other | CA | CA BOARD OF REGISTERED NURSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 633849 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1568148609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 SAN MARINO DR",
"city": "DAVIS",
"state": "CA",
"postal_code": "956185014",
"telephone_number": "530-902-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 SAN MARINO DR",
"city": "DAVIS",
"state": "CA",
"postal_code": "956185014",
"telephone_number": "530-902-3396"
}
],
"practiceLocations": [
{
"address_1": "6600 Bruceville Rd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958234671",
"country_code": "US",
"telephone_number": "916-688-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 X St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172214",
"country_code": "US",
"telephone_number": "916-734-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2825 Capitol Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958166039",
"country_code": "US",
"telephone_number": "916-887-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1325 Cottonwood St",
"address_purpose": "LOCATION",
"city": "Woodland",
"state": "CA",
"postal_code": "956955131",
"country_code": "US",
"telephone_number": "530-662-3961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Eureka Rd",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956613027",
"country_code": "US",
"telephone_number": "916-784-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Sutter Pl",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956166201",
"country_code": "US",
"telephone_number": "530-759-7444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Quality Dr",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956889494",
"country_code": "US",
"telephone_number": "707-624-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "633849",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF REGISTERED NURSING",
"identifier": "633849",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.