Active NPI
Jana L Pratt, PAC
- Specialist
- Redding, CA
National Provider Identifier
1598860355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PA13302
- Practice address
- 2420 Sonoma St Ste B
Redding, CA 96001-3027 - Phone
- (530) 246-4455
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PA13302 | CA | Primary |
Addresses
Primary practice location
2420 Sonoma St Ste B
Redding, CA 96001-3027
Mailing address
2410 Sonoma St
Ste 1
Redding, CA 96001-3029
Phone (530) 243-3339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0094810 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13302 | CA | MD | Mental Health Counselor |
Interoperability endpoints
- https://api.platform.athenahealth.com/2161/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1598860355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SONOMA ST",
"address_2": "STE 1",
"city": "REDDING",
"state": "CA",
"postal_code": "960013029",
"telephone_number": "530-243-3339",
"fax_number": "530-243-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 SONOMA ST STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960013027",
"telephone_number": "530-246-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "JANA",
"middle_name": "L",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PA13302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0094810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.