Jenny Marie Hullinger, RN

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

639208 Issued in CA

Practice address

711 4TH Ave Ste 200
San Diego, CA 92101-6863

Phone

(619) 232-3040

Fax

(619) 232-3041

NPI assigned

Aug 20, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Revivamed Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1609061498

  Plastic and Reconstructive Surgery

  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1598245474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 4TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016863",
            "telephone_number": "619-232-3040",
            "fax_number": "616-232-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 4TH AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016863",
            "telephone_number": "619-232-3040",
            "fax_number": "619-232-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLINGER",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "639208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "639208",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Hull
• Benjamin John Hulley, M.D.
• Jacquelyn Hulley
• Stacy Elizabeth Hulley, M.D
• Kelly Hullihan, MS
• Ann-Marie Louise Hulse
• Hulsey Dental Corporation
• Charles Martin Hulsey III, D.D.S.,M.S.
• April Hultz
• Jennifer Hum, PHARMD

• Plastic and Reconstructive Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.