Individual provider Active NPI

Suzanne Llamado, RN PHN MSN

  • Registered Nurse
  • Santa Rosa, CA
National Provider Identifier
1164979175
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
296814 Issued in CA
Practice address
3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081
Phone
(707) 565-5733
Fax
(707) 565-5739
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 296814 CA Primary

Addresses

Primary practice location

3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081

Mailing address

3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081
Phone (707) 565-5733

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
296814CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1164979175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 WESTWIND BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039081",
            "telephone_number": "707-565-5733",
            "fax_number": "707-565-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 WESTWIND BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039081",
            "telephone_number": "707-565-5733",
            "fax_number": "707-565-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAMADO",
        "first_name": "SUZANNE",
        "credential": "RN PHN MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "296814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.