Pauline Pisiw, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

713830 Issued in CA

Practice address

8552 Cottonseed Way
Elk Grove, CA 95624-4592

Phone

(916) 833-5481

NPI assigned

Apr 30, 2024

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

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1083460935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 COTTONSEED WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244592",
            "telephone_number": "916-833-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 COTTONSEED WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244592",
            "telephone_number": "916-833-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISIW",
        "first_name": "PAULINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "713830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildine Pierre
• Victoria Pietruszka, JD, PHD
• Ellen Christine Pinnock, LPCC
• Oscar Pinto Cabrera
• Mia Vanessa Pinto-Ochoa, AGACNP-BC
• Som Pitak, PHARM D.
• Marzzio Plancarte
• Lina Plascencia
• Alona E Plugovaya
• Siddhartha Poddar

• Registered Nurse in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.