Individual provider Active NPI

Jennifer C Paul, RN

  • High-Risk Obstetric Registered Nurse
  • North Hollywood, CA
National Provider Identifier
1881362887
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X
License
95096011 Issued in CA
Practice address
5251 Vineland Ave Apt 232
North Hollywood, CA 91601-7005
Phone
(773) 550-0853
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered Nurse 163WX0002X 95096011 CA Primary

Addresses

Primary practice location

5251 Vineland Ave Apt 232
North Hollywood, CA 91601-7005

Mailing address

5251 Vineland Ave Apt 232
North Hollywood, CA 91601-7005
Phone (773) 550-0853

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
95096011CAMDHigh-Risk Obstetric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1881362887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 VINELAND AVE APT 232",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916017005",
            "telephone_number": "773-550-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 VINELAND AVE APT 232",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916017005",
            "telephone_number": "773-550-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "CA",
            "license": "95096011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.