Individual provider Active NPI

Nicole S Una, N.P.

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1114284072
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
21037 Issued in CA
Practice address
330 Ellis St FL 6
San Francisco, CA 94102-2735
Phone
(415) 674-6140
Fax
(415) 568-2094
NPI assigned
Apr 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 21037 CA Primary

Addresses

Primary practice location

330 Ellis St FL 6
San Francisco, CA 94102-2735

Mailing address

330 Ellis St FL 6
San Francisco, CA 94102-2735
Phone (415) 674-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815001236 CA Practitioner - Nurse Practitioner 2466724224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 CurrentSince May 24, 2017 Accepting new patients
Healthright 360 CurrentSince May 24, 2017 Accepting new patients
Regents Univ of California UCSF Past Accepting new patients
Lyon-Martin Community Health Services Past Accepting new patients

Locations

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

330 Ellis St
Fl 6
San Francisco, CA 94102
Phone (415) 674-6140

Organizations & group practices 4

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": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1114284072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ELLIS ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022735",
            "telephone_number": "415-674-6140",
            "fax_number": "415-568-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ELLIS ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022735",
            "telephone_number": "415-674-6140",
            "fax_number": "415-568-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNA",
        "first_name": "NICOLE",
        "middle_name": "S",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "21037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.