Individual provider Active NPI

Joy Ignacio, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1134517667
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95001865 Issued in CA
Practice address
2750 Eureka Way
Redding, CA 96001-0223
Phone
(530) 262-6700
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95001865 CA Primary

Addresses

Primary practice location

2750 Eureka Way
Redding, CA 96001-0223

Mailing address

5591 Jerry Litell Way
Sacramento, CA 95835-1717
Phone (916) 928-3087

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
I20150708001882 CA Practitioner - Nurse Practitioner 3375855190 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95001865CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc Current Accepting new patients
Health and Life Organization, Inc. CurrentSince Jun 16, 2015 Accepting new patients
Health and Life Organization, Inc CurrentSince Jun 16, 2015 Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients

Locations

5524 Assembly Ct
Sacramento, CA 95823
Phone (916) 642-1880

3030 Explorer Dr
Sacramento, CA 95827
Phone (916) 642-1885

7275 E Southgate Dr
Ste 204
Sacramento, CA 95823
Phone (916) 428-3788

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1134517667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5591 JERRY LITELL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351717",
            "telephone_number": "916-928-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010223",
            "telephone_number": "530-262-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "JOY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95001865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.