Johanna Green-jacob, NURSE PRACTITIONER

NPI: 1609863968

Johanna Green-jacob, NURSE PRACTITIONER

Q: What is Johanna Green-jacob's NPI number?

Johanna Green-jacob's NPI number is 1609863968, a unique 10-digit identifier issued by CMS.

Q: What does Johanna Green-jacob specialize in?

Johanna Green-jacob specializes in Nurse Practitioner, taxonomy code 363LF0000X.

Q: Where does Johanna Green-jacob practice?

Johanna Green-jacob practices in San Diego, CA 92102-4541.

Q: When was Johanna Green-jacob's NPI issued?

Johanna Green-jacob's NPI was issued on October 3, 2005.

Q: What is Johanna Green-jacob's provider type?

Johanna Green-jacob is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: October 3, 2005

Quick Facts

NPI Number

1609863968

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LF0000X — Nurse Practitioner

Phone

(619) 515-2300

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1609863968)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 3, 2005)

Data source: CMS NPPES

Provider Overview

JOHANNA GREEN-JACOB, NURSE PRACTITIONER is a Nurse Practitioner provider based in San Diego, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1609863968

Provider TypeIndividual Provider

GenderFemale

CredentialNURSE PRACTITIONER

StatusActive

Enumeration DateOctober 3, 2005

Practice Location

CitySan Diego

StateCA

ZIP Code92102-4541

Phone(619) 515-2300

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LF0000X

License StateCA

Mailing Address

CitySan Diego

StateCA

ZIP Code92102-4541

Phone(619) 515-2300

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1609863968 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1609863968for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1609863968 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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