Jennifer Tracy Lesser

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

617489 Issued in CA

Practice address

1300 S Grand Ave Ste C
Santa Ana, CA 92705-4434

Phone

(714) 567-7688

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Tracy Nowack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• County of Orange

  • Case Management Agency
  • Santa Ana, CA
  • NPI 1275670119
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1629532874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EDGARTOWN ST",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GRAND AVE STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054434",
            "telephone_number": "714-567-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSER",
        "first_name": "JENNIFER",
        "middle_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "617489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NOWACK",
            "middle_name": "TRACY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Brian Lerch, DC
• Celia Lerum
• Laura Leske, NP-C
• Michelle Ann Leslie, PTA
• Kash Lessani
• Leticia Camacho DDS Inc,
• Richard James Lettieri, PH.D.
• Amy Nicole Leu, D.O.
• Cheryl Leung, MD
• Kasie K.T Leung, RN,PHN

• Psychiatric/Mental Health Registered Nurse in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.