Individual provider Active NPI

Lyssa Michelle Jaye, FNP

  • Family Nurse Practitioner
  • Richmond, CA
National Provider Identifier
1982924684
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2009001900 Issued in CA
Practice address
2970 Hilltop Mall Rd Ste 307
Richmond, CA 94806-5204
Phone
(510) 222-5871
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2009001900 CA Primary

Addresses

Primary practice location

2970 Hilltop Mall Rd Ste 307
Richmond, CA 94806-5204

Mailing address

2970 Hilltop Mall Rd Ste 307
Richmond, CA 94806-5204
Phone (510) 222-5871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727003456 CA Practitioner - Nurse Practitioner 4587946827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18749CAMDPhysical Therapist
2009001900CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Jul 6, 2021 Accepting new patients
City & County of San Francisco CurrentSince Jul 6, 2021 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

Interoperability endpoints

  • Direct secure messaging: lyssa.jayenp.p1@direct.ppnorcal.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1982924684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD STE 307",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065204",
            "telephone_number": "510-222-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD STE 307",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065204",
            "telephone_number": "510-222-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYE",
        "first_name": "LYSSA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2009001900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.