Active NPI
Patricia Lynn Jasper, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- South San Francisco, CA
National Provider Identifier
1720594294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP12698
- Practice address
- 395 Oyster Point Blvd.
Suite 128
South San Francisco, CA 94080 - Phone
- (650) 634-0133
- NPI assigned
- Dec 20, 2017
- Last updated
- Dec 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP12698 | CA | Primary |
Addresses
Primary practice location
395 Oyster Point Blvd.
Suite 128
South San Francisco, CA 94080
Mailing address
395 Oyster Point Blvd.
Suite 128
South San Francisco, CA 94080
Phone (650) 634-0133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP12698 | CA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- pjasper@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1720594294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 OYSTER POINT BLVD.",
"address_2": "SUITE 128",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "94080",
"telephone_number": "650-634-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 OYSTER POINT BLVD.",
"address_2": "SUITE 128",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "94080",
"telephone_number": "650-634-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "NP12698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.