Cristene Adel Jory, HHP, AWC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Practice address

3200 US Highway 50 Unit 5
South Lake Tahoe, CA 96150-9207

Phone

(530) 517-0637

NPI assigned

Jun 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740775451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550018",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961550018",
            "telephone_number": "530-517-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 US HIGHWAY 50 UNIT 5",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509207",
            "telephone_number": "530-517-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORY",
        "first_name": "CRISTENE",
        "middle_name": "ADEL",
        "credential": "HHP, AWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Shawn Jolly, RN
• Lloyd M Jones, RT R CT
• Mary Jean Jones, NP
• Stanley H Jones
• Jorge Perez MD LTD
• Katrina Gabrielle Joy, RN
• Michael Juckett
• Richard Leland Kahn, OD
• Watson Kambenja
• Alyna Azalia Vera Kane

• Prevention Professional in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Prevention Professional in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.