Emily Hunter Birnbaum, FNP
Individual provider Active NPI Nurse Practitioner · Emeryville, CA
NPI 1194355446 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1194355446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95013597 (CA)
- Practice address
- 5800 Hollis St
Emeryville, CA 94608-2016 - Phone
- (510) 806-2100
- Fax
- (510) 806-2548
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200902001131 | CA | Practitioner - Nurse Practitioner | 2062839210 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95013597 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ole Health | Current |
Accepting new patients | |
| Ole Health | Current |
Accepting new patients | |
| LGTC Group | Past |
Accepting new patients | |
| Stanford Health Care | Past | Accepting new patients | |
| WK Medical Group | Past |
Accepting new patients |
Locations
1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778
300 Hartle Ct
Napa, CA 94559
Phone (707) 254-1775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95013597 | CA | |
| Nurse Practitioner | 363L00000X | 95013597 | CA | Yes |
Addresses
Primary practice location
5800 Hollis St
Emeryville, CA 94608-2016
Mailing address
5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2100
Other practice location 1
300 Hartle Ct
Napa, CA 94559-4078
Phone (707) 254-1775
Other practice location 2
165 Capp St
San Francisco, CA 94110-1209
Phone (415) 869-7977
Other practice location 3
240 Shotwell St # 1323
San Francisco, CA 94110-1323
Phone (415) 552-3870
Other providers in Emeryville, CA
- Troy Benfield
- Turshika Bennett
- Susan Beyer Bertelsen
- Brianna Bilotta
- Avrille Birnbaum
- Michelle Black
- Will Richard Blackmon III
- Beranah Azela Blaylock
- Janika Boguszewski Rodriguez
- Austin Bohnsack
All providers in Emeryville, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.