Carol Anne Herrlie, RN, FNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

RN255133 FUNISNP3280 Issued in CA

Practice address

5253 Bucks Bar Rd
Placerville, CA 95667-7869

Phone

(530) 622-9124

Fax

(530) 626-0677

NPI assigned

Apr 3, 2010

Last updated

Apr 3, 2010By 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": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270252800000",
    "number": "1073838900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 BUCKS BAR RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956677869",
            "telephone_number": "530-622-9124",
            "fax_number": "530-626-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 BUCKS BAR RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956677869",
            "telephone_number": "530-622-9124",
            "fax_number": "530-626-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRLIE",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "RN255133 FUNISNP3280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER: ZZZ36132Z",
            "identifier": ": ZZZ36132Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Hellerstein, MD
• Daniel S Helm, D. C.
• Stanley C Henjum II, M.D.
• Marlene Marie Hensley, LCSW
• Heather Heritage, LCSW
• Deborah Krista Herron
• Lori S Heuser, PA-C
• Laurie Ann Hicklin
• Jannavie Dawn Hickman, M.A.
• Eric Hill, RAD-T

• Family Health Clinical Nurse Specialist in Placerville, CA
• Providers in Placerville, CA by specialty
• Family Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.