NPIMap

Organization Active NPI

Precision Cardio Pulmonary, LLC

  • Adult Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1053649293
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
PRECISION CARDIO PULMONARY, LLC
Practice address
1104 Corporate Way
Suite 221
Sacramento, CA 95831-3875
Phone
(866) 961-5589
Fax
(866) 961-5586
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mrs. Kimberly A Johns, CRT
Title
Sole MBR
Phone
(866) 961-5589

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1104 Corporate Way
Suite 221
Sacramento, CA 95831-3875

Mailing address

2194 Main St
Suite I
Dunedin, FL 34698-5696
Phone (866) 961-5589

National Provider Directory

National Provider Directory

Locations

1104 Corporate Way
Ste 221
Sacramento, CA 95831
Phone (866) 961-5589

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1053649293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 MAIN ST",
            "address_2": "SUITE I",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985696",
            "telephone_number": "866-961-5589",
            "fax_number": "866-961-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CORPORATE WAY",
            "address_2": "SUITE 221",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313875",
            "telephone_number": "866-961-5589",
            "fax_number": "866-961-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CARDIO PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "866-961-5589",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.