Individual provider Active NPI

Cara Ann Megan Tierrez, RN

  • Registered Nurse
  • Vista, CA
National Provider Identifier
1104567700
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95170101 Issued in CA
Practice address
550 W Vista Way Ste 407
Vista, CA 92083-5714
Phone
(760) 758-8481
Fax
(760) 758-8481
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 95170101 CA Primary

Addresses

Primary practice location

550 W Vista Way Ste 407
Vista, CA 92083-5714

Mailing address

265 Brisas CT
Oceanside, CA 92058-7972
Phone (808) 756-2076

Other practice location 1

550 W Vista Way Ste 407
Vista, CA 92083-5714
Phone (760) 758-1092

Other names 1

  • Cara Adams, Dacus 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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95170101CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1104567700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BRISAS CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587972",
            "telephone_number": "808-756-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VISTA WAY STE 407",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835714",
            "telephone_number": "760-758-8481",
            "fax_number": "760-758-8481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Vista Way Ste 407",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920835714",
            "country_code": "US",
            "telephone_number": "760-758-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERREZ",
        "first_name": "CARA",
        "middle_name": "ANN MEGAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95170101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "ADAMS, DACUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.