Martha Jeannette Jolley, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

404415 Issued in CA

Practice address

220 California Dr
Yountville, CA 94599-1412

Phone

(707) 944-4716

NPI assigned

Dec 13, 2006

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

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.

• Collabria Care

  • Community Based Hospice Care Agency
  • Napa, CA
  • NPI 1023011178
  Medicare reassignment NPD
• Collabria Care

  • Adult Day Care Clinic/Center
  • Napa, CA
  • NPI 1972506624
  NPD
• Veterans Home of California Barstow

  • Skilled Nursing Facility
  • Barstow, CA
  • NPI 1205821758
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1710048798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA DR",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA DR",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "MARTHA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "404415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Roy Hampton III, D.D.S.
• Charesa L Harper, LCSW
• Sing L Hsu, RPH
• Deena Marie Hughes, R.D
• Ramsha Irshad, RD, MPH
• Jolene Jow, R.D.
• Laurie Joyce, OTR/L
• Maria Theresa B. Julian, D.D.S.
• Cynthia K. Kapjian, M.D.
• Kim Lynn Kelley

• Adult Health Nurse Practitioner in Yountville, CA
• Providers in Yountville, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.