Individual provider Active NPI

Jennifer Rose Duarte

  • Rehabilitation Practitioner
  • Ceres, CA
National Provider Identifier
1932794443
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
2528 Leslie LN
Ceres, CA 95307-2326
Phone
(209) 450-6345
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

2528 Leslie LN
Ceres, CA 95307-2326

Mailing address

2935 4TH St
Ceres, CA 95307-3222
Phone (209) 450-6345

Other practice location 1

3212 Uranus Dr
Ceres, CA 95307-3010
Phone (209) 538-4038

Other practice location 2

3607 Blaker Rd
Ceres, CA 95307-9503
Phone (209) 531-1783

Other practice location 3

1708 Banyan Ct
Ceres, CA 95307-1907
Phone (209) 538-1888

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

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1932794443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 4TH ST",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073222",
            "telephone_number": "209-450-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 LESLIE LN",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072326",
            "telephone_number": "209-450-6345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3212 Uranus Dr",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953073010",
            "country_code": "US",
            "telephone_number": "209-538-4038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3607 Blaker Rd",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953079503",
            "country_code": "US",
            "telephone_number": "209-531-1783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Banyan Ct",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953071907",
            "country_code": "US",
            "telephone_number": "209-538-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.