Jienelle Sagum Herndon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95003516 Issued in CA

Practice address

600 Nut Tree Rd Ste 310
Vacaville, CA 95687-4686

Phone

(707) 359-1800

NPI assigned

Dec 8, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1629443262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 310",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874686",
            "telephone_number": "707-359-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NUT TREE RD STE 310",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874686",
            "telephone_number": "707-359-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "JIENELLE",
        "middle_name": "SAGUM",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfonso Hernandez-Sanchez, PTA
• Alyssa Hernandez
• Daniela Hernandez
• Norma Angelica Hernandez, LMFT
• Yaneli Hernandez
• Tim Hesgard, MFT
• Bruce Thomas Hewett, M.D.
• Amber Judith Hewitt, PA-C
• Kalista R. C. Hickman, MFT
• Julianne Elizabeth Hicks, LMFT

• Family Nurse Practitioner in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.