Individual provider Active NPI

Taryn Huestis, RN

  • General Practice Registered Nurse
  • Sacramento, CA
National Provider Identifier
1164148532
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
729091 Issued in CA
Practice address
250 Florin Rd
Sacramento, CA 95831-1405
Phone
(916) 399-0650
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 729091 CA Primary

Addresses

Primary practice location

250 Florin Rd
Sacramento, CA 95831-1405

Mailing address

2145 San Antonio Ave
Alameda, CA 94501-4326
Phone (925) 324-7714

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL walgreens Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
729091CAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 23, 2022 Accepting new patients
Walgreen Co PastSince Oct 23, 2022 Accepting new patients

Locations

250 Florin Rd
Sacramento, CA 95831
Phone (916) 399-0650

Organizations & group practices 2

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1164148532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 SAN ANTONIO AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014326",
            "telephone_number": "925-324-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311405",
            "telephone_number": "916-399-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUESTIS",
        "first_name": "TARYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "729091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "walgreens",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pharmacy",
            "address_1": "250 Florin Rd",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958311405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.