Individual provider Active NPI

Jennifer Lee Nagy-Cordray, MEDICAL MASSAGE

  • Specialist
  • Yuba City, CA
National Provider Identifier
1841362415
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
63473 Issued in CA
Practice address
1528 Plumas CT
Suite 300
Yuba City, CA 95991-2972
Phone
(530) 751-5166
Fax
(530) 751-1575
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 63473 CA Primary

Addresses

Primary practice location

1528 Plumas CT
Suite 300
Yuba City, CA 95991-2972

Mailing address

1528 Plumas CT
Suite 300
Yuba City, CA 95991-2972
Phone (530) 751-5166

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

State licenses

LicenseStateTypeSpecialty
63473CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spa Therapy Wellness Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1841362415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 PLUMAS CT",
            "address_2": "SUITE 300",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912972",
            "telephone_number": "530-751-5166",
            "fax_number": "530-751-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 PLUMAS CT",
            "address_2": "SUITE 300",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912972",
            "telephone_number": "530-751-5166",
            "fax_number": "530-751-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY-CORDRAY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "MEDICAL MASSAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "63473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.