Organization Active NPI

Marla Elkins Advanced Practice Registered Nursing Inc.

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1184124588
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18020 Issued in CA
Legal business name
MARLA ELKINS ADVANCED PRACTICE REGISTERED NURSING INC.
Doing business as
Dawn Medical Group
Practice address
691 Maraglia St Ste C
Redding, CA 96002-1029
Phone
(530) 319-3110
Fax
(530) 319-3112
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Marla Dawn Elkins, FNP
Title
President
Phone
(530) 319-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 18020 CA Primary

Addresses

Primary practice location

691 Maraglia St Ste C
Redding, CA 96002-1029

Mailing address

691 Maraglia St Ste C
Redding, CA 96002-1029
Phone (530) 319-3110

Other practice location 1

1472 B St
Livingston, CA 95334-1413
Phone (209) 398-2321

Other names 1

  • Dawn Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

1472 B St
Livingston, CA 95334
Phone (209) 398-2321

691 Maraglia St
Ste C
Redding, CA 96002
Phone (530) 222-3287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1184124588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MARAGLIA ST STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021029",
            "telephone_number": "530-319-3110",
            "fax_number": "530-319-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MARAGLIA ST STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021029",
            "telephone_number": "530-319-3110",
            "fax_number": "530-319-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1472 B St",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "CA",
            "postal_code": "953341413",
            "country_code": "US",
            "telephone_number": "209-398-2321",
            "fax_number": "209-398-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARLA ELKINS ADVANCED PRACTICE REGISTERED NURSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-319-3110",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.