Active NPI
Jennifer Lang Ree, P.N.P.
- Pediatric Nurse Practitioner
- Truckee, CA
National Provider Identifier
1912903113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11027
- Practice address
- 10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4860 - Phone
- (530) 587-3523
- Fax
- (530) 582-6190
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 11027 | CA | Primary |
Addresses
Primary practice location
10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4860
Mailing address
10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4860
Phone (530) 587-3523
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260026968 | Other | CA | TAX IDENTIFICATION NUMBER |
| GR0075020 | Medicaid | CA | |
| ZHCPP486 | Other | CA | BLUE CROSS OF CALIFORNIA |
| ZZZ52949Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
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
Interoperability endpoints
- jlangree958406@directa.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1912903113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "STE 130",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614860",
"telephone_number": "530-587-3523",
"fax_number": "530-582-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "STE 130",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614860",
"telephone_number": "530-587-3523",
"fax_number": "530-582-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG REE",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "11027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "260026968",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0075020",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "ZHCPP486",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ52949Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.