Individual provider Active NPI

Johanna Lynn Sillick, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1851981997
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
427827 Issued in CA
Practice address
3765 Arroyo Sorrento Rd
San Diego, CA 92130-2606
Phone
(858) 794-7612
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 427827 CA Primary

Addresses

Primary practice location

3765 Arroyo Sorrento Rd
San Diego, CA 92130-2606

Mailing address

3765 Arroyo Sorrento Rd
San Diego, CA 92130-2606
Phone (858) 794-7612

Other names 1

  • Jolynn Sillick Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
427827CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1851981997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 ARROYO SORRENTO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302606",
            "telephone_number": "858-794-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 ARROYO SORRENTO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302606",
            "telephone_number": "858-794-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLICK",
        "first_name": "JOHANNA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "427827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLYNN",
            "last_name": "SILLICK",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.