Individual provider Active NPI

Jennifer Henshaw-Lefever, PA, O.T.

  • Physician Assistant
  • Santa Rosa, CA
National Provider Identifier
1891997227
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13248 Issued in CA
Practice address
1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone
(707) 546-1922
Fax
(707) 546-1897
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2068 CA
Physician Assistant 363A00000X PA13248 CA Primary

Addresses

Primary practice location

1405 Montgomery Dr
Santa Rosa, CA 95405-4557

Mailing address

1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone (707) 546-1922

Other identifiers 2

IdentifierTypeStateIssuer
OT2068OtherCALICENSE
PA13248OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
91.25
Promoting interoperability
100
Improvement activities
40
Cost
50.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13248CAMDClinical Social Worker
OT2068CAMDOccupational Therapist
PA13248CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jennifer.lefever.1@20181.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1891997227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054557",
            "telephone_number": "707-546-1922",
            "fax_number": "707-546-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054557",
            "telephone_number": "707-546-1922",
            "fax_number": "707-546-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSHAW-LEFEVER",
        "first_name": "JENNIFER",
        "credential": "PA, O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2068",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OT2068",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA13248",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.