Theodore Rae Fletcher, RN, PHN, ACRN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN95248292 Issued in CA

Practice address

1270 Natividad Rd
Salinas, CA 93906-3144

Phone

(831) 796-1236

NPI assigned

Jan 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1114688041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063144",
            "telephone_number": "831-417-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063144",
            "telephone_number": "831-796-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "THEODORE",
        "middle_name": "RAE",
        "credential": "RN, PHN, ACRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "RN95248292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Fitzsimmons, PA
• Melody Flanagan, O.D.
• Guadalupe Flemate
• Mallory Jo Fleming, RN
• Hannah Fletchall
• Miguel Fletes Zamora
• Vivian Jazzelle Fletes
• Christian James Flickner, OD
• James Leland Flickner, OD
• Montzerat Flores Martinez

• Case Management Registered Nurse in Salinas, CA
• Providers in Salinas, CA by specialty
• Case Management Registered Nurse in California

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