Individual provider Active NPI

Nicole Natalie Ranahan

  • Family Nurse Practitioner
  • Pittsburg, CA
National Provider Identifier
1063967594
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004265 Issued in CA
Practice address
2220 Gladstone Dr Ste 3
Pittsburg, CA 94565-5123
Phone
(925) 635-2978
Fax
(925) 432-0886
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004265 CA Primary

Addresses

Primary practice location

2220 Gladstone Dr Ste 3
Pittsburg, CA 94565-5123

Mailing address

2220 Gladstone Dr Ste 3
Pittsburg, CA 94565-5123
Phone (925) 635-2978

Other practice location 1

2400 Balfour Rd Ste 306
Brentwood, CA 94513-4955
Phone (925) 432-3318

Other names 1

  • Ms. Nicole Natalie Del Rio-Nobili Former name

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1063967594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR STE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "925-635-2978",
            "fax_number": "925-432-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GLADSTONE DR STE 3",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655123",
            "telephone_number": "925-635-2978",
            "fax_number": "925-432-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Balfour Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945134955",
            "country_code": "US",
            "telephone_number": "925-432-3318",
            "fax_number": "925-432-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANAHAN",
        "first_name": "NICOLE",
        "middle_name": "NATALIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DEL RIO-NOBILI",
            "middle_name": "NATALIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.