Active NPI
Jennifer Stocking, NP
- Nurse Practitioner
- Laguna Beach, CA
National Provider Identifier
1831513035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95000281
- Practice address
- 333 Thalia St
Laguna Beach, CA 92651 - Phone
- (949) 499-0577
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95000281 | CA | Primary |
Addresses
Primary practice location
333 Thalia St
Laguna Beach, CA 92651
Mailing address
24671 Creekview Dr
Laguna Hills, CA 92653-4210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95000281 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1831513035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24671 CREEKVIEW DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 THALIA ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "92651",
"telephone_number": "949-499-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKING",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95000281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.