Individual provider Active NPI

Jennifer Lang Ree, P.N.P.

  • Pediatric Nurse Practitioner
  • Truckee, CA
National Provider Identifier
1912903113
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11027 Issued in CA
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

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
260026968OtherCATAX IDENTIFICATION NUMBER
GR0075020MedicaidCA
ZHCPP486OtherCABLUE CROSS OF CALIFORNIA
ZZZ52949ZOtherCABLUE 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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.