NPIMap

Organization Active NPI

Usp Atwater

  • Public Health or Welfare Agency
  • Atwater, CA
National Provider Identifier
1154732477
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
USP ATWATER
Practice address
1 Federal Way
Atwater, CA 95301-5174
Phone
(209) 386-4791
NPI assigned
May 9, 2014
Organization subpart
Yes
Parent organization
FEDERAL BUREAU OF PRISONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Lourdes Mettry, R.N.
Title
Health Service Administrator
Phone
(209) 386-4791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X CA Primary

Addresses

Primary practice location

1 Federal Way
Atwater, CA 95301-5174

Mailing address

1 Federal Way
Atwater, CA 95301-5174
Phone (209) 386-4791

National Provider Directory

National Provider Directory
Tax ID family
Federal Correctional Institution Ashland49 organizations share this tax ID, including this one
Part of
Federal Correctional Institution Ashland

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154732477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015174",
            "telephone_number": "209-386-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FEDERAL WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015174",
            "telephone_number": "209-386-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USP ATWATER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FEDERAL BUREAU OF PRISONS",
        "enumeration_date": "2014-05-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "METTRY",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "HEALTH SERVICE ADMINISTRATOR",
        "authorized_official_telephone_number": "209-386-4791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.