Organization Active NPI

UC Davis

  • Obstetrics & Gynecology Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1144432840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
403940 Issued in CA
Legal business name
UC DAVIS
Practice address
271 Turn Pike Dr
Folsom, CA 95630-8098
Phone
(916) 985-9375
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryann Simpson
Title
NP
Phone
(916) 985-9375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X 403940 CA Primary

Addresses

Primary practice location

271 Turn Pike Dr
Folsom, CA 95630-8098

Mailing address

3100 Winchester Dr
Rescue, CA 95672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144432840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WINCHESTER DR",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "95672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 TURN PIKE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308098",
            "telephone_number": "916-985-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "916-985-9375"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "403940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.