Individual provider Active NPI

Jenielyn H Nafarrete, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1730832346
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95147028 Issued in CA
Practice address
5101 Market St
San Diego, CA 92114-2219
Phone
(858) 331-0143
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95147028 CA Primary

Addresses

Primary practice location

5101 Market St
San Diego, CA 92114-2219

Mailing address

7867 Rancho Fanita Dr Unit D
Santee, CA 92071-3364
Phone (858) 382-4365

Other names 1

  • Ms. Jenielyn C Harder Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95147028CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1730832346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 RANCHO FANITA DR UNIT D",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713364",
            "telephone_number": "858-382-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MARKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921142219",
            "telephone_number": "858-331-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFARRETE",
        "first_name": "JENIELYN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95147028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIELYN",
            "last_name": "HARDER",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.