Individual provider Active NPI

Jesseka Sommerdyke, RN

  • Registered Nurse
  • Yuba City, CA
National Provider Identifier
1861281305
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95095320 Issued in CA
Practice address
920 Chestnut St
Yuba City, CA 95991-4020
Phone
(530) 743-6888
NPI assigned
May 1, 2025
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 95095320 CA Primary

Addresses

Primary practice location

920 Chestnut St
Yuba City, CA 95991-4020

Mailing address

920 Chestnut St
Yuba City, CA 95991-4020
Phone (530) 743-6888

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
95095320CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1861281305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHESTNUT ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914020",
            "telephone_number": "530-743-6888",
            "fax_number": "916-474-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHESTNUT ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914020",
            "telephone_number": "530-743-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERDYKE",
        "first_name": "JESSEKA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95095320",
            "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 May 1, 2025; 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.