Individual provider Active NPI

Ronnette Denise Daulton, FNP

  • Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1205020468
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP7988 Issued in CA
Practice address
530 Kings County Dr Ste 107
Hanford, CA 93230-3579
Phone
(559) 585-1200
NPI assigned
Aug 30, 2007
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP7988 CA Primary

Addresses

Primary practice location

530 Kings County Dr Ste 107
Hanford, CA 93230-3579

Mailing address

530 Kings County Dr Ste 107
Hanford, CA 93230-3579
Phone (559) 585-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140522000564 CA Order and Referring Only - Nurse Practitioner 7416170337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP7988CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Medical Group Inc CurrentSince Aug 14, 2012 Accepting new patients
Central Valley Comprehensive Care Inc. PastSince Dec 1, 2007 Accepting new patients

Locations

530 Kings County Dr
Ste 107
Hanford, CA 93230
Phone (559) 538-3145

755 N Irwin St
Hanford, CA 93230
Phone (559) 584-5000

Interoperability endpoints

  • Direct secure messaging: ronnette.daulton@143545.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1205020468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 KINGS COUNTY DR STE 107",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303579",
            "telephone_number": "559-585-1200",
            "fax_number": "559-585-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 KINGS COUNTY DR STE 107",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303579",
            "telephone_number": "559-585-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULTON",
        "first_name": "RONNETTE",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP7988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.