Tawnya Lee Macchiarella, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

471188 Issued in CA

Practice address

3860 Calle Fortunada Ste 210
San Diego, CA 92123-4802

Phone

(858) 309-6303

Fax

(858) 309-6301

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1194905489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 VALLE VIS",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919414259",
            "telephone_number": "858-966-8800",
            "fax_number": "858-966-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234802",
            "telephone_number": "858-309-6303",
            "fax_number": "858-309-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIARELLA",
        "first_name": "TAWNYA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "471188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cellecel Ian Galvez Macaspac
• Liza Macatula
• Charles Macaulay, MD
• Kathryn M Macaulay, M.D.
• Karen A Macauley, CFNP
• Daniel Maccia, PSY.D.
• Erynn Elizabeth Macciomei, PHD
• Marlon Maccomish
• Kelly Macdavid
• Barbara A Macdonald, CNP

• Pediatric Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.