Individual provider Active NPI

A. Nanette Purdy-Diocson, MFTI # 55302

  • Day Training/Habilitation Specialist
  • French Camp, CA
National Provider Identifier
1104935246
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
8210 S Bright Rd
French Camp, CA 95231-9759
Phone
(209) 879-2155
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

8210 S Bright Rd
French Camp, CA 95231-9759

Mailing address

8210 S Bright Rd
French Camp, CA 95231-9759
Phone (209) 298-2431

Other identifiers 1

IdentifierTypeStateIssuer
2530MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1104935246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 S BRIGHT RD",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319759",
            "telephone_number": "209-298-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 S BRIGHT RD",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319759",
            "telephone_number": "209-879-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY-DIOCSON",
        "first_name": "A.",
        "middle_name": "NANETTE",
        "name_prefix": "Ms.",
        "credential": "MFTI # 55302",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in French Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.