Active NPI
Jessica Lee
- Psychiatric/Mental Health Registered Nurse
- Santa Cruz, CA
National Provider Identifier
1649820689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN95185186
- Practice address
- 380 Encinal St Ste 200
Santa Cruz, CA 95060-2178 - Phone
- (831) 469-1700
- Fax
- (831) 425-1905
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN95185186 | CA | Primary |
Addresses
Primary practice location
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Mailing address
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone (831) 469-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN95185186 | Other | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95185186 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1649820689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-469-1700",
"fax_number": "831-425-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 ENCINAL ST STE 200",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602178",
"telephone_number": "831-469-1700",
"fax_number": "831-425-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "RN95185186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING",
"identifier": "RN95185186",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.