Individual provider Active NPI

Anya Clowers, RN

  • Registered Nurse
  • Fair Oaks, CA
National Provider Identifier
1073860433
Registry record updated Aug 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
531430 Issued in CA
Practice address
8066 Sunset Ave
Suite 103
Fair Oaks, CA 95628-5000
Phone
(415) 655-1819
NPI assigned
Aug 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 531430 CA Primary

Addresses

Primary practice location

8066 Sunset Ave
Suite 103
Fair Oaks, CA 95628-5000

Mailing address

216 F St
#165
Davis, CA 95616-4515
Phone (415) 655-1819

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
531430CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344038400000",
    "number": "1073860433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 F ST",
            "address_2": "#165",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164515",
            "telephone_number": "415-655-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8066 SUNSET AVE",
            "address_2": "SUITE 103",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285000",
            "telephone_number": "415-655-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWERS",
        "first_name": "ANYA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2012-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "531430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.