Active NPI
Jessica R Nuzzo, E-RYT 500
- Rehabilitation Practitioner
- San Francisco, CA
National Provider Identifier
1699115840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 37395
- Practice address
- 110 Gardenside Dr
#103
San Francisco, CA 94131-3306 - Phone
- (917) 572-8186
- NPI assigned
- Jul 2, 2013
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 37395 | Primary |
Addresses
Primary practice location
110 Gardenside Dr
#103
San Francisco, CA 94131-3306
Mailing address
110 Gardenside Dr
#103
San Francisco, CA 94131-3306
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1699115840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 GARDENSIDE DR",
"address_2": "#103",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941313306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GARDENSIDE DR",
"address_2": "#103",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941313306",
"telephone_number": "917-572-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUZZO",
"first_name": "JESSICA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "E-RYT 500",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": "37395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.