Active NPI
Janet Bernadette Jones, R.N.,P.H.N., F.N.P.
- Community Health/Public Health Clinical Nurse Specialist
- Stockton, CA
National Provider Identifier
1821133281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist
- License
- RN660706
- Practice address
- 3601 Pacific Ave
Stockton, CA 95211-0110 - Phone
- (209) 946-2316
- Fax
- (209) 946-3001
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | RN660706 | CA | Primary |
Addresses
Primary practice location
3601 Pacific Ave
Stockton, CA 95211-0110
Mailing address
5543 Ralston Way
Placerville, CA 95667-8611
Phone (209) 946-2316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19328 | Other | CA | CALIFORNIA NURSE PRACTITIONER |
Other names 1
- Mrs. Janet Bernadette Trujillojones
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN660706 | CA | MD | Community Health/Public Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdstat Urgent Care, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Roseville, CA
- NPI 1407229107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1821133281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5543 RALSTON WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956678611",
"telephone_number": "209-946-2316",
"fax_number": "209-946-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 PACIFIC AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952110110",
"telephone_number": "209-946-2316",
"fax_number": "209-946-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JANET",
"middle_name": "BERNADETTE",
"name_prefix": "Mrs.",
"credential": "R.N.,P.H.N., F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "CA",
"license": "RN660706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA NURSE PRACTITIONER",
"identifier": "19328",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "TRUJILLOJONES",
"middle_name": "BERNADETTE",
"prefix": "MRS.",
"credential": "RN, MSN, FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.