A.Whitebread Rnfa

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

411562 Issued in CA

Legal business name

A.WHITEBREAD RNFA

Practice address

1702 Sandalwood Dr
Modesto, CA 95350-3819

Phone

(209) 872-6316

NPI assigned

Feb 28, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Anna Marie Whitebread, R.N.F.A.NPI 1598928392

Title

Registered Nurse First Assist

Phone

(209) 872-6316

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Marie Whitebread, RNFA

  • Registered Nurse First Assistant
  • Modesto, CA
  • NPI 1598928392
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1245368653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 SANDALWOOD DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503819",
            "telephone_number": "209-872-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 SANDALWOOD DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503819",
            "telephone_number": "209-872-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.WHITEBREAD RNFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WHITEBREAD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED NURSE FIRST ASSIST",
        "authorized_official_telephone_number": "209-872-6316",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.N.F.A."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "411562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Modesto, CA
• Providers in Modesto, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.