Organization Active NPI

Sonoma Health & Safety Center LLC

  • Family Health Clinical Nurse Specialist
  • Winnemucca, NV
National Provider Identifier
1174984942
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
NV20101664754 Issued in NV
Legal business name
SONOMA HEALTH & SAFETY CENTER LLC
Practice address
653 Anderson St
Winnemucca, NV 89445-4229
Phone
(775) 625-3355
Fax
(775) 625-3357
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mrs. Nicola P Bain, APRN
Title
Nurse Practitioner
Phone
(775) 625-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X NV20101664754 NV Primary

Addresses

Primary practice location

653 Anderson St
Winnemucca, NV 89445-4229

Mailing address

653 Anderson St
Winnemucca, NV 89445-4229
Phone (775) 625-3355

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2056861Sonoma Health & Safety Center653 Anderson St, Winnemucca, NV 89445Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

653 Anderson St
Winnemucca, NV 89445
Phone (775) 625-3355

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1174984942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ANDERSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894454229",
            "telephone_number": "775-625-3355",
            "fax_number": "775-625-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 ANDERSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894454229",
            "telephone_number": "775-625-3355",
            "fax_number": "775-625-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA HEALTH & SAFETY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "775-625-3355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NV",
            "license": "NV20101664754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.