Active NPI
Anthony John Jennings, RN
- Registered Nurse
- Sac, CA
National Provider Identifier
1689785404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN499271
- Practice address
- 4600 Broadway
Suite 1300
Sac, CA 95820 - Phone
- (916) 874-9696
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN499271 | CA | Primary |
Addresses
Primary practice location
4600 Broadway
Suite 1300
Sac, CA 95820
Mailing address
2820 F Street
Sac, CA 95816-3718
Phone (916) 447-7863
Other names 1
- Mr. Tony John Jennings
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN499271 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689785404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 F STREET",
"city": "SAC",
"state": "CA",
"postal_code": "958163718",
"telephone_number": "916-447-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 BROADWAY",
"address_2": "SUITE 1300",
"city": "SAC",
"state": "CA",
"postal_code": "95820",
"telephone_number": "916-874-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN499271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "JENNINGS",
"middle_name": "JOHN",
"prefix": "MR.",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sac, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.