Individual provider Active NPI

Marie-Nicole Lapeyrade, P.A.

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1093836090
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA148960 Issued in CA
Practice address
4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Phone
(916) 419-9900
Fax
(916) 419-9699
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA148960 CA Primary

Addresses

Primary practice location

4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590

Mailing address

PO Box 832
Placerville, CA 95667-0832
Phone (209) 461-3196

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14896CAMDAcupuncturist
PA148960CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter North Medical Foundation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1093836090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956670832",
            "telephone_number": "209-461-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DUCKHORN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342590",
            "telephone_number": "916-419-9900",
            "fax_number": "916-419-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPEYRADE",
        "first_name": "MARIE-NICOLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA148960",
            "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 May 7, 2015; 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.