Individual provider Active NPI

Jan Richelle Strayer, LVN

  • Licensed Vocational Nurse
  • Pasadena, CA
National Provider Identifier
1861902694
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
137349 Issued in CA
Practice address
867 N Fair Oaks Ave
Pasadena, CA 91103
Phone
(626) 798-6793
NPI assigned
Oct 6, 2017
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN137349 CA
Licensed Vocational Nurse 164X00000X 137349 CA Primary

Addresses

Primary practice location

867 N Fair Oaks Ave
Pasadena, CA 91103

Mailing address

867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Phone (626) 798-6793

Other practice location 1

36 S Kinneloa Ave
Pasadena, CA 91107-3853
Phone (626) 844-3033 ext. 7150

Other practice location 2

36 S Kinneloa Ave
Pasadena, CA 91107-3853
Phone (626) 844-3033 ext. 7150

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
137349CAMDLicensed Vocational Nurse
VN137349CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1861902694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033050",
            "telephone_number": "626-798-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91103",
            "telephone_number": "626-798-6793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 S Kinneloa Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073853",
            "country_code": "US",
            "telephone_number": "626-844-3033 x7150",
            "fax_number": "626-844-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 S Kinneloa Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073853",
            "country_code": "US",
            "telephone_number": "626-844-3033 x7150",
            "fax_number": "626-844-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAYER",
        "first_name": "JAN",
        "middle_name": "RICHELLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN137349",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "137349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.