Jennifer Jewell, RNC,NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

405554 Issued in CA

Practice address

204 E Beach St
Watsonville, CA 95076-4809

Phone

(831) 728-0222

Fax

(831) 707-2777

NPI assigned

Jun 11, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1730169756
  Medicare reassignment NPD
• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1497012561
  NPD
• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Seaside, CA
  • NPI 1700142544
  NPD
• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1629269618
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1700089224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 AVIATION WAY",
            "address_2": "SUITE 200",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762053",
            "telephone_number": "831-728-8250",
            "fax_number": "831-707-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E BEACH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764809",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "JENNIFER",
        "credential": "RNC,NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "405554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL LICENSE NUMBER",
            "identifier": "405554",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING LIC NUMBER",
            "identifier": "NPF4763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher D. Jaspers, MS, MA, MAT, BCBA
• Lisa Jene Jenkins, MD
• Donna Jensen Lewis, MA, LMFT
• Erin K Jensen, PT
• Jergensen Dental PC
• Ana Veronica Jimenez
• Angelica Zambrano Jimenez
• Luis Jimenez
• Jo-Mar Laboratory & Marketing Corp.
• Daniel Steven Johnson, PA-C, L.AC.

• Women's Health Nurse Practitioner in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.