Active NPI
Jeri Rene'E Cates, RN, MSN, FNPC
- Nurse Practitioner
- Shasta Lake, CA
National Provider Identifier
1972831519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19231
- Practice address
- 5145 Shasta Dam Blvd
Shasta Lake, CA 96019-9403 - Phone
- (530) 275-5421
- Fax
- (530) 275-1549
- NPI assigned
- Nov 19, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19231 | CA | Primary |
Addresses
Primary practice location
5145 Shasta Dam Blvd
Shasta Lake, CA 96019-9403
Mailing address
5145 Shasta Dam Blvd
Shasta Lake, CA 96019-9403
Phone (530) 275-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP 19231 | Other | CA | NP LISCENSE |
Other names 1
- Jeri Rene'E Lawler
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
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold S. Budhram, MD, Inc. | Past | Accepting new patients | |
| Active Life Wound Center a Professional Medical Corporation | Nurse Practitioner | Past | Accepting new patients |
| Jakob Jaggy, MD, Inc | Past | Accepting new patients | |
| Greenleaf Management | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1396553616
Nurse Practitioner
-
- Family Medicine Physician
- Shasta Lake, CA
- NPI 1346572468
-
- Family Medicine Physician
- Columbia, CA
- NPI 1487881165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1972831519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 SHASTA DAM BLVD",
"city": "SHASTA LAKE",
"state": "CA",
"postal_code": "960199403",
"telephone_number": "530-275-5421",
"fax_number": "530-275-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 SHASTA DAM BLVD",
"city": "SHASTA LAKE",
"state": "CA",
"postal_code": "960199403",
"telephone_number": "530-275-5421",
"fax_number": "530-275-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATES",
"first_name": "JERI",
"middle_name": "RENE'E",
"credential": "RN, MSN, FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "19231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LISCENSE",
"identifier": "NP 19231",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JERI",
"last_name": "LAWLER",
"middle_name": "RENE'E",
"credential": "RN, MSN, FNPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shasta Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.