Active NPI
Deirdre Thorne-Hadfield, W.H.N.P. M.S. R.N.
- Women's Health Nurse Practitioner
- San Rafael, CA
National Provider Identifier
1225197106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 333235
- Practice address
- 99 Montecillo Rd
Dept of OBGYN
San Rafael, CA 94903-3308 - Phone
- (415) 444-4591
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 333235 | CA | Primary |
Addresses
Primary practice location
99 Montecillo Rd
Dept of OBGYN
San Rafael, CA 94903-3308
Mailing address
99 Montecillo Rd
San Rafael, CA 94903-3308
Phone (415) 444-2241
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7185 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients |
Locations
1800 Harrison St
Fl 7
Oakland, CA 94612
99 Montecillo Rd
San Rafael, CA 94903
Phone (415) 444-2047
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1225197106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 MONTECILLO RD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033308",
"telephone_number": "415-444-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MONTECILLO RD",
"address_2": "DEPT OF OBGYN",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033308",
"telephone_number": "415-444-4591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE-HADFIELD",
"first_name": "DEIRDRE",
"credential": "W.H.N.P. M.S. R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "333235",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "99 Montecillo Rd",
"city": "San Rafael",
"state": "CA",
"country_code": "US",
"postal_code": "949033308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.