Mary Imhof, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

557456 Issued in CA

Practice address

2221 Ione St
Sacramento, CA 95864-0769

Phone

(916) 247-7998

NPI assigned

Sep 29, 2023

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

Other names 1

• Mary Imhof Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1225818016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 IONE ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958640769",
            "telephone_number": "916-247-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 IONE ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958640769",
            "telephone_number": "916-247-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 River Park Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154509",
            "country_code": "US",
            "telephone_number": "916-482-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMHOF",
        "first_name": "MARY",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "557456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "IMHOF",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gloria Im
• Robin Shizuko Imagire, M.S.
• Imani Wellness Care
• Imaster Health Inc
• Imbcs Inc
• Lindsey Immers
• Dayle A Imperato, M.D.
• Thomas J Imperato, M.D.
• Imperial Valley Optometric Corporation
• Pamela Imperiale

• Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.