Nikki L Anthony, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

390502 Issued in CA

Practice address

275 Beck Ave
Fairfield, CA 94533-6804

Phone

(800) 426-3452

Fax

(707) 421-7484

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023179561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 RIVERSIDE DR",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952924",
            "telephone_number": "530-666-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BECK AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "800-426-3452",
            "fax_number": "707-421-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "NIKKI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "390502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "390502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Cecilia Caboboy Anicete, PT
• William Andrew Ankney, M.D.
• Anne Chen MD Inc
• Anthony Marino D.D.S., M.S. Professional Cororation
• Andre Anthony
• Anna Marie Antonio, FNP
• Genesis Profeta Antonio, D.D.S.
• Aleena Antony
• Irish Anunciacion
• Linda Gail Anzalone, OD

• Community Health Registered Nurse in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.