Individual provider Active NPI

Nicole Semana, NP-BC

  • Primary Care Nurse Practitioner
  • Santa Clarita, CA
National Provider Identifier
1245881804
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95012679 Issued in CA
Practice address
27141 Hidaway Ave
Santa Clarita, CA 91351-4131
Phone
(661) 297-1177
NPI assigned
Sep 25, 2019
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95012679 CA Primary

Addresses

Primary practice location

27141 Hidaway Ave
Santa Clarita, CA 91351-4131

Mailing address

27141 Hidaway Ave
Santa Clarita, CA 91351-4131
Phone (661) 297-1177

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PC Medical Clinic Inc CurrentSince Apr 24, 2020 Accepting new patients
Kathleen Jordan MD PC Past Accepting new patients

Locations

631 E Colorado St
Ste C
Glendale, CA 91205
Phone (818) 507-1881

27141 Hidaway Ave
Ste 204
Santa Clarita, CA 91351
Phone (661) 397-1177

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1245881804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-297-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913514131",
            "telephone_number": "661-297-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMANA",
        "first_name": "NICOLE",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95012679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.