Active NPI
Jennifer Lynn McIsaac, HHP, CMT, CCMH
- Health & Wellness Coach
- San Diego, CA
National Provider Identifier
1932760022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 2003006141
- Practice address
- 5252 Balboa Ave Ste 706
San Diego, CA 92117-2949 - Phone
- (619) 889-9912
- NPI assigned
- Jun 28, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Massage Therapist | 225700000X | 7931 | CA | |
| Health & Wellness Coach | 171400000X | 2003006141 | Primary |
Addresses
Primary practice location
5252 Balboa Ave Ste 706
San Diego, CA 92117-2949
Mailing address
5252 Balboa Ave Ste 706
San Diego, CA 92117-2949
Phone (619) 889-9912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7931 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1932760022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE STE 706",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172949",
"telephone_number": "619-889-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE STE 706",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172949",
"telephone_number": "619-889-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCISAAC",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "HHP, CMT, CCMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "7931",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "2003006141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.