Individual provider Active NPI

Catherine Molly Jessup, NP-C

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1700416138
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013745 Issued in CA
Practice address
450 Sutter St RM 1708
San Francisco, CA 94108-4101
Phone
(415) 392-3200
Fax
(415) 392-3201
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95159695 CA
Family Nurse Practitioner 363LF0000X 95013745 CA Primary

Addresses

Primary practice location

450 Sutter St RM 1708
San Francisco, CA 94108-4101

Mailing address

450 Sutter St RM 1708
San Francisco, CA 94108-4101
Phone (415) 392-3200

Other practice location 1

2340 Clay St Fl 6
San Francisco, CA 94115-1932
Phone (415) 674-5200

Other practice location 2

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (415) 840-0560

Other identifiers 1

IdentifierTypeStateIssuer
1770519233OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjessup@theturekclinic.com The Turek Clinic

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210128000055 CA Order and Referring Only - Nurse Practitioner 8729492020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1700416138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1708",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084101",
            "telephone_number": "415-392-3200",
            "fax_number": "415-392-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1708",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084101",
            "telephone_number": "415-392-3200",
            "fax_number": "415-392-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Clay St Fl 6",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151932",
            "country_code": "US",
            "telephone_number": "415-674-5200",
            "fax_number": "415-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "415-840-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "CATHERINE",
        "middle_name": "MOLLY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95159695",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770519233",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjessup@theturekclinic.com",
            "affiliation": "Y",
            "affiliationName": "The Turek Clinic",
            "address_1": "450 Sutter St Rm 1708",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941084101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.