JAMIE DETELS LVN
NPI 1700766748
Licensed Vocational Nurse in Santa Rosa, CA

Q: What is Jamie Detels's NPI number?

The NPI number for Jamie Detels is 1700766748. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Q: What is Jamie Detels's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jamie Detels was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2025

1687 YULUPA AVE, SANTA ROSA, CA 95405(707) 546-6183(707) 528-8027 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jamie Detels Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE DETELS LVN (NPI 1700766748) is an individual licensed vocational nurse in Santa Rosa, California, licensed in California (725390) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1700766748

Entity TypeIndividual

Primary Taxonomy164X00000X

Provider Legal NameJAMIE DETELSCredential: LVN

Location Address1687 YULUPA AVESanta Rosa, CA 95405-7778

Mailing Address1609 Del Oro CirPetaluma, CA 94954-5728 · (707) 393-7778

Phone(707) 546-6183

Fax(707) 528-8027

Sole ProprietorNo

Enumeration DateSeptember 2, 2025

NPPES CertifiedSeptember 2, 2025

✔ NPI 1700766748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 725390

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

1687 YULUPA AVE, Santa Rosa, CA 95405

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN CORRIGAN PPS

Psychologist (School)

1687 YULUPA AVE
SANTA ROSA, CA 95405

Sonoma County (707) 546-6183

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Detels's NPI number?

The NPI number for Jamie Detels is 1700766748. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Jamie Detels located?

Jamie Detels practices at 1687 Yulupa Ave, Santa Rosa, CA 95405. The listed phone number is (707) 546-6183.

What is Jamie Detels's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Jamie Detels was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.