Beth Sorensen, RN
Individual provider Active NPI School Registered Nurse · Mountain House, CA
NPI 1134827264 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1134827264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 617939 (CA)
- Practice address
- 111 S de Anza Blvd
Mountain House, CA 95391-7900 - Phone
- (209) 836-7400
- NPI assigned
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 617939 | CA | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lammersville Unified District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 617939 | CA | Yes |
Addresses
Primary practice location
111 S de Anza Blvd
Mountain House, CA 95391-7900
Mailing address
111 S de Anza Blvd
Mountain House, CA 95391-7900
Phone (209) 836-7400
Other names
- Beth Choate
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All providers in Mountain House, CA · School Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.