Active NPI
Jacqueline Rachel Casey, PA-C
- Medical Physician Assistant
- Willows, CA
National Provider Identifier
1922085877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 15155
- Practice address
- 1133 W Sycamore St
Willows, CA 95988-2601 - Phone
- (530) 934-1816
- NPI assigned
- Dec 30, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15155 | CA | Primary |
Addresses
Primary practice location
1133 W Sycamore St
Willows, CA 95988-2601
Mailing address
1133 W Sycamore St
Willows, CA 95988-2601
Phone (530) 934-1816
Other names 1
- Ms. Jacqueline Rachel Casey
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15155 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1922085877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 W SYCAMORE ST",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882601",
"telephone_number": "530-934-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 W SYCAMORE ST",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882601",
"telephone_number": "530-934-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "JACQUELINE",
"middle_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "15155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "CASEY",
"middle_name": "RACHEL",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Willows, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.