Active NPI
Jeanette Lenay Nunes, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Oakland, CA
National Provider Identifier
1700549177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95015324
- Practice address
- 390 40TH St
Oakland, CA 94609-2633 - Phone
- (510) 613-0330
- NPI assigned
- Oct 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95015324 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2022008170 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95015324 | CA |
Addresses
Primary practice location
390 40TH St
Oakland, CA 94609-2633
Mailing address
9381 E Stockton Blvd Ste 220
Elk Grove, CA 95624-5070
Phone (916) 351-9400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230328001119 | CA | Practitioner - Nurse Practitioner | 4688042997 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022008170 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Services, Inc. | Current | Accepting new patients | |
| Bay Area Community Services, Inc. | Current | Accepting new patients | |
| Bay Area Community Services, Inc. | Current | Accepting new patients |
Locations
390 40th St
Oakland, CA 94609
Phone (510) 247-8235
559 16th St
Oakland, CA 94612
Phone (510) 318-6112
4600 47th Ave
Ste 111
Sacramento, CA 95824
Phone (916) 318-0141
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Hayward, CA
- NPI 1043420243
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1982334561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1700549177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9381 E STOCKTON BLVD STE 220",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245070",
"telephone_number": "916-351-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 40TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092633",
"telephone_number": "510-613-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNES",
"first_name": "JEANETTE",
"middle_name": "LENAY",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95015324",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "2022008170",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95015324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.