Coralie Elizabeth Ettinger, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004398 Issued in CA

Practice address

430 Palora Ave, Ste G.
Yuba City, CA 95991-4729

Phone

(530) 674-2603

Fax

(530) 674-0941

NPI assigned

Sep 26, 2014

Last updated

Jun 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1164825717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PALORA AVE, STE G.",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914729",
            "telephone_number": "530-674-2603",
            "fax_number": "530-674-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "CORALIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004398",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95034994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Esparza
• Irma Esparza, LVN
• Beth Ann Esposito
• Deanna M Estrada
• Noemi Estrada, MHRS
• Cole Evans
• Eager Evans, DDS
• Janet Evans, PHARM.D
• Tunisia Ismalia Evans.Al-Salahuddin, DOCTORAL, MS, CHW
• Ever Well Health Systems, LLC (Delta at Holly Oaks)

• Family Nurse Practitioner in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.