NPIMap

Organization Active NPI

Northern California Advanced Practice Nursing Services, Inc.

  • Acute Care Nurse Practitioner
  • Napa, CA
National Provider Identifier
1114338027
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
12604 Issued in CA
Legal business name
NORTHERN CALIFORNIA ADVANCED PRACTICE NURSING SERVICES, INC.
Practice address
2564 Edgewater Dr
Napa, CA 94558-3641
Phone
(707) 320-3004
Fax
(707) 224-5848
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Vicki D. Moore, ACNP-BC
Title
President
Phone
(707) 320-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 12604 CA Primary

Addresses

Primary practice location

2564 Edgewater Dr
Napa, CA 94558-3641

Mailing address

2564 Edgewater Dr
Napa, CA 94558-3641
Phone (707) 320-3004

Other identifiers 2

IdentifierTypeStateIssuer
12604OtherCANP LICENSE
431102OtherCARN LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1114338027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 EDGEWATER DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583641",
            "telephone_number": "707-320-3004",
            "fax_number": "707-224-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 EDGEWATER DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583641",
            "telephone_number": "707-320-3004",
            "fax_number": "707-224-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA ADVANCED PRACTICE NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-320-3004",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "12604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "12604",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "431102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.