Stephanie J. Jennison, R.N.,N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP 18240 Issued in CA

Practice address

19191 S Vermont Ave
Torrance, CA 90502-1018

Phone

(310) 354-4346

NPI assigned

Aug 25, 2008

Last updated

Jan 15, 2013By the provider in NPPES

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

Other names 1

• Stephanie Stevens Former name

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

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glavinovich Medical Corporation

  dba California Regenerative Wound Care

  • Prevention Professional
  • Laguna Beach, CA
  • NPI 1033086269

  Adult Health

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• CP la County S-Ca Hospice, LLC

  dba Providence a Home with Compassus Palliative Care, So Cal

  • Community Based Hospice Care Agency
  • Torrance, CA
  • NPI 1225850480
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1851548564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 VIA DICHA",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "91750",
            "telephone_number": "626-327-3169",
            "fax_number": "909-596-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19191 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021018",
            "telephone_number": "310-354-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNISON",
        "first_name": "STEPHANIE",
        "middle_name": "J.",
        "credential": "R.N.,N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP 18240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STEVENS",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauriece Jenkins
• Mary Jenkins
• Micha Jenkins
• Jennifer Dugan PH D a Psychology Corporation
• Jennifer Engstrom MD PC
• Denise Jensen
• Julia Jensen, MFT
• Corey Jentry
• Hayden Jeon
• Hee Jae Jeon, CHRISTINE

• Adult Health Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.