Active NPI
Mary Dunning Garofalo
- Family Nurse Practitioner
- Vacaville, CA
National Provider Identifier
1255731915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4420
- Practice address
- 100 Mills Rd
Vacaville, CA 95687-4633 - Phone
- (707) 628-3009
- NPI assigned
- Sep 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4420 | CA | Primary |
| Occupational Health Nurse Practitioner | 363LX0106X | 4420 | CA |
Addresses
Primary practice location
100 Mills Rd
Vacaville, CA 95687-4633
Mailing address
100 Mills Rd
Vacaville, CA 95687-4633
Phone (707) 628-3009
Other names 1
- Ms. Mary Jean Dunning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409529600000",
"number": "1255731915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MILLS RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874633",
"telephone_number": "707-628-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MILLS RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874633",
"telephone_number": "707-628-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "MARY",
"middle_name": "DUNNING",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-01",
"last_updated": "2014-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "4420",
"primary": true
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "4420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DUNNING",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.