Individual provider Active NPI

Treesa Antony, DNP, FNP-BC, RN-BSN

  • Family Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1003379306
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028550 Issued in CA
Practice address
421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone
(707) 646-5500
NPI assigned
Apr 12, 2019
Last updated
Jan 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704310872 MI
Family Nurse Practitioner 363LF0000X 5019136 NC
Family Nurse Practitioner 363LF0000X 95028550 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240131000523 NC Practitioner - Nurse Practitioner 9436559457
I20250224001348 CA Practitioner - Nurse Practitioner 9436559457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Health Centers, Inc.Group PAC ID 6800782277, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

421 Nut Tree Rd
Vacaville, CA 95687-3508
Phone (707) 624-7500

PO Box
Guerneville, CA 95446

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95028550CAMDFamily Nurse Practitioner
4704310872MIMDFamily Nurse Practitioner
5019136NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Practice Corporation CurrentSince Mar 13, 2021 Accepting new patients
Nursing Practice Corporation CurrentSince Mar 13, 2021 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 14, 2025 Accepting new patients
Northbay Healthcare Group CurrentSince Jan 14, 2025 Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients
West County Health Centers, Inc. Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-5000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

1550 Taylor St
Detroit, MI 48206
Phone (313) 486-5501

5285 Anthony Wayne Dr
Detroit, MI 48202
Phone (313) 577-5041

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1003379306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38319 SARATOGA CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313747",
            "telephone_number": "248-880-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-646-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Reynold Sweet Pkwy",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481781816",
            "country_code": "US",
            "telephone_number": "248-437-2048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6535 Drake Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223147",
            "country_code": "US",
            "telephone_number": "248-592-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "TREESA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704310872",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.