Active NPI
Proactive Care Nursing, Inc
- Adult Health Nurse Practitioner
- Huntington Beach, CA
National Provider Identifier
1154713790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- PROACTIVE CARE NURSING, INC
- Practice address
- 17822 Beach Blvd
Suite 400
Huntington Beach, CA 92647-7101 - Phone
- (714) 332-7016
- NPI assigned
- Feb 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sherry E DO, NP
- Title
- Coo
- Phone
- (714) 332-7016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
17822 Beach Blvd
Suite 400
Huntington Beach, CA 92647-7101
Mailing address
8692 Wagers Cir
Huntington Beach, CA 92647-5027
Phone (714) 332-7016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17822 Beach Blvd
Ste 400
Huntington Beach, CA 92647
Phone (714) 332-7016
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Huntington Beach, CA
- NPI 1205067543
-
- Family Nurse Practitioner
- Huntington Beach, CA
- NPI 1477897452
-
- Nurse Practitioner
- Aliso Viejo, CA
- NPI 1104273309
-
- Emergency Medicine Physician
- Placentia, CA
- NPI 1073861712
-
- Internal Medicine Physician
- Garden Grove, CA
- NPI 1720153182
-
- Family Nurse Practitioner
- Fountain Valley, CA
- NPI 1134512551
-
- Gerontology Nurse Practitioner
- Garden Grove, CA
- NPI 1487051850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491264000000",
"number": "1154713790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8692 WAGERS CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926475027",
"telephone_number": "714-332-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17822 BEACH BLVD",
"address_2": "SUITE 400",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926477101",
"telephone_number": "714-332-7016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE CARE NURSING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2017-04-04",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "714-332-7016",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.