Individual provider Active NPI

Mary Nicole Alltop, RN

  • Registered Nurse
  • Oceanside, CA
National Provider Identifier
1013130111
Registry record updated Feb 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
757233 Issued in CA
Practice address
602 Vaquero CT
Oceanside, CA 92058-6755
Phone
(210) 386-7753
NPI assigned
Apr 10, 2007
Last updated
Feb 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 222011 CA
Registered Nurse 163W00000X 757233 CA Primary

Addresses

Primary practice location

602 Vaquero CT
Oceanside, CA 92058-6755

Mailing address

602 Vaquero CT
Oceanside, CA 92058-6755
Phone (210) 386-7753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
757233CAMDRegistered Nurse
222011CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266105600000",
    "number": "1013130111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 VAQUERO CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920586755",
            "telephone_number": "210-386-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 VAQUERO CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920586755",
            "telephone_number": "210-386-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLTOP",
        "first_name": "MARY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "222011",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "757233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.