Individual provider Active NPI

Brittany Nichole Sweeney, PA

  • Physician Assistant
  • Santa Rosa, CA
National Provider Identifier
1013550698
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4729A Hoen Ave
Santa Rosa, CA 95405-7862
Phone
(707) 577-7800
Fax
(707) 573-5360
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4729A Hoen Ave
Santa Rosa, CA 95405-7862

Mailing address

1657 Andover Way
Petaluma, CA 94954-7453
Phone (406) 439-0567

Other practice location 1

827 Grouse Ln
Petaluma, CA 94954-4424
Phone (406) 439-0567

Other names 1

  • Brittany Nichole Hart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200917001780 CA Practitioner - Physician Assistant 2365860699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals CurrentSince Sep 1, 2021 Accepting new patients
Sutter Bay Hospitals CurrentSince Sep 1, 2021 Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

Interoperability endpoints

  • Direct secure messaging: bhart538947@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1013550698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 ANDOVER WAY",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547453",
            "telephone_number": "406-439-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729A HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-577-7800",
            "fax_number": "707-573-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Grouse Ln",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949544424",
            "country_code": "US",
            "telephone_number": "406-439-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HART",
            "middle_name": "NICHOLE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.