Treesa Antony, DNP, FNP-BC, RN-BSN
Individual provider Active NPI Family Nurse Practitioner · Vacaville, CA
NPI 1003379306 · NPPES record last updated Jan 12, 2025
Key facts
- NPI
- 1003379306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95028550 (CA)
- Practice address
- 421 Nut Tree Rd
Vacaville, CA 95687-3508 - Phone
- (707) 646-5500
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Wayne State University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northbay Physicians Surgery Center, LLC
West County Health Centers, Inc.
Practice addresses (Care Compare)
421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500
PO Box
Guerneville, CA 95446
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131000523 | NC | Practitioner - Nurse Practitioner | 9436559457 | |
| I20250224001348 | CA | Practitioner - Nurse Practitioner | 9436559457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028550 | CA | MD | Family Nurse Practitioner |
| 4704310872 | MI | MD | Family Nurse Practitioner |
| 5019136 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nursing Practice Corporation | Current |
Accepting new patients | |
| Northbay Healthcare Group | Current |
Accepting new patients | |
| Northbay Healthcare Group | Current |
Accepting new patients | |
| Nursing Practice Corporation | Current |
Accepting new patients | |
| West County Health Centers, Inc. | Past | Accepting new patients | |
| Northbay Physicians Surgery Center LLC | Past | Accepting new patients |
Locations
4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1550 Taylor St
Detroit, MI 48206
Phone (313) 486-5501
5285 Anthony Wayne Dr
Detroit, MI 48202
Phone (313) 577-5041
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704310872 | MI | |
| Family Nurse Practitioner | 363LF0000X | 5019136 | NC | |
| Family Nurse Practitioner | 363LF0000X | 95028550 | CA | Yes |
Addresses
Primary practice location
421 Nut Tree Rd
Vacaville, CA 95687-3508
Mailing address
38319 Saratoga Cir
Farmington Hills, MI 48331-3747
Phone (248) 880-7283
Other practice location 1
700 Reynold Sweet Pkwy
South Lyon, MI 48178-1816
Phone (248) 437-2048
Other practice location 2
6535 Drake Rd
West Bloomfield, MI 48322-3147
Phone (248) 592-2000
Other providers in Vacaville, CA
- Anka Behavioral Health Incorporated
- Paolo Serafin Tan Anonas
- Catherine Anthony-Tkach
- Delajae Anthony
- Victoria Chinyere Anthony
- Curlette Latrice Antwine
- Afarin Anvari
- David Apilado
- Amber Rose Apperson
- Nazareth Aquino
All providers in Vacaville, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.