Patricia G. McBride, RNNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

612 Issued in CA

Practice address

1801 E Cotati Ave
Sonoma State University
Rohnert Park, CA 94928-3613

Phone

(707) 664-2921

Fax

(707) 664-2925

NPI assigned

Sep 3, 2009

Last updated

Sep 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Student Health Ctr Pharmacy

  • Student Health Clinic/Center
  • Rohnert Park, CA
  • NPI 1699838763
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1023241296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 RANCHO BONITO CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545622",
            "telephone_number": "707-763-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E COTATI AVE",
            "address_2": "SONOMA STATE UNIVERSITY",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949283613",
            "telephone_number": "707-664-2921",
            "fax_number": "707-664-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "PATRICIA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "RNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "612",
            "primary": true
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "176783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isabella Mya Martinez
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• David Mazza
• Holly McClure, NP
• McCoy Corp. a Chiropractic Community
• Colleen Erin McCoy, D.C.
• Kathleen McCullough
• Taylor McDilda

• Nurse Practitioner in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.