Jennifer Peart, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031676 Issued in CA

Practice address

6430 South St
Lakewood, CA 90713-1713

Phone

(562) 731-3990

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Continuem

  • Urgent Care Clinic/Center
  • Lakewood, CA
  • NPI 1336716489
  Medicare reassignment NPD
• Continuem

  • Urgent Care Clinic/Center
  • Lakewood, CA
  • NPI 1578228987
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1710710629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 KINGFISHER DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465535",
            "telephone_number": "949-214-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131713",
            "telephone_number": "562-731-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEART",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirish Bavajibhai Patel, M.D
• Pathways Volunteer Hospice (Pathways)
• Kimberly Paulin
• Judy Pawid
• Patricia D Payne
• Marlon Donasco Pelayo, RD
• Rebecca Irene Alcazaren Pena, DMD
• Carlen Penuliar
• Maria Peralta
• Adela Peratoner, PT

• Family Nurse Practitioner in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.