Mary Jane Reilly-Jaramillo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

491456 Issued in CA

Practice address

1150 Fremont Blvd
Seaside, CA 93955-5715

Phone

(831) 899-8107

NPI assigned

Jan 30, 2007

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

State licenses

Interoperability endpoints

• Direct secure messaging: mreillyjaramillo111396@direct.ochin.org

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1801932439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555715",
            "telephone_number": "831-899-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555715",
            "telephone_number": "831-899-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY-JARAMILLO",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "491456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Pritchett
• Cheryl Tan Quina
• Stephanie Quinonez
• Marina Quirit Quirit Russo, PPS SCHOOL PSYCH
• Jamie Reeder, NP
• Elaine Resurreccion
• Catherine E Rivera, MS, MM, MT-BC
• Laura Rivera, SLP
• Mary Linda Roberts, M.D.
• Jerry Dwight Robinson Sr.

• Family Nurse Practitioner in Seaside, CA
• Providers in Seaside, 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 Nov 6, 2015; 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.