Jeannie Michelle Umanzor, DNP, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95007178 Issued in CA

Practice address

6551 Van Nuys Blvd Ste 201
Van Nuys, CA 91401-1490

Phone

(818) 765-8656

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Northeast Valley Health CorporationGroup PAC ID 3173517323, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jeannie.umanzor.p1@direct.nevhc.nextgenshare.com

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.

• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009
  Medicare reassignment Care Compare group NPD
• Yourpsychnp Nursing Services Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Valencia, CA
  • NPI 1013711712

  Family

  Medicare reassignment NPD Authorized official
• Yourpsychnp Nursing Services Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Valencia, CA
  • NPI 1770477523
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • San Fernando, CA
  • NPI 1235130600
  NPD
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1548960834
  NPD
• Clinica Medica Internacional, Inc

  • Preferred Provider Organization
  • North Hollywood, CA
  • NPI 1427123504
  NPD (past)
• Ovi Moas M D a Professional Corporation

  • Family Medicine Physician
  • Temple City, CA
  • NPI 1003856402
  NPD (past)

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1992234165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22215 OXFORD LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503036",
            "telephone_number": "661-247-9568",
            "fax_number": "213-799-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 VAN NUYS BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011490",
            "telephone_number": "818-765-8656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25350 Magic Mountain Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913551356",
            "country_code": "US",
            "telephone_number": "661-247-9568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMANZOR",
        "first_name": "JEANNIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007178",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "95038181",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITONER",
            "identifier": "95007178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zinada Ulko
• Nataly Ulloa
• Ultimate Pharmacy Inc
• Ultra Care Hospice, Inc
• Ultramed Diagnostic Radiology Inc
• Paul Umukoro, AODC
• Liam Unanue
• Unconditional Care Home Health
• Unicare Pharmacy Inc
• Unicare Pharmacy Inc

• Psychiatric/Mental Health Nurse Practitioner in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.