Individual provider Active NPI

Jennifer Horrocks, RNC, NP, IBCLC

  • Women's Health Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1790235232
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
559045 Issued in CA
Practice address
727 Camino Manzanas
Thousand Oaks, CA 91360-2203
Phone
(818) 395-7749
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 559045 CA
Women's Health Nurse Practitioner 363LW0102X 559045 CA Primary

Addresses

Primary practice location

727 Camino Manzanas
Thousand Oaks, CA 91360-2203

Mailing address

727 Camino Manzanas
Thousand Oaks, CA 91360-2203
Phone (818) 395-7749

Other names 1

  • Jennifer Dotey 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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
559045CAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1790235232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 CAMINO MANZANAS",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602203",
            "telephone_number": "818-395-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CAMINO MANZANAS",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602203",
            "telephone_number": "818-395-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORROCKS",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "RNC, NP, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "559045",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "559045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DOTEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.