Active NPI
Jennifer Callas
- Registered Nurse
- Grass Valley, CA
National Provider Identifier
1982360665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN95381975
- Practice address
- 760 S Auburn St Ste C2
Grass Valley, CA 95945-4318 - Phone
- (530) 265-5811
- NPI assigned
- Nov 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Registered Nurse | 163W00000X | RN95381975 | CA | Primary |
Addresses
Primary practice location
760 S Auburn St Ste C2
Grass Valley, CA 95945-4318
Mailing address
760 S Auburn St Ste C2
Grass Valley, CA 95945-4318
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 |
|---|---|---|---|
| RN95381975 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1982360665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 S AUBURN ST STE C2",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 S AUBURN ST STE C2",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454318",
"telephone_number": "530-265-5811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN95381975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.