Individual provider Active NPI

Patricia L McTague, MSN, CFNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1265554786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221530 Issued in DE
Practice address
8695 Spectrum Center Blvd
Room 119
San Diego, CA 92123-1489
Phone
(858) 499-5259
Fax
(858) 499-5317
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221530 DE Primary

Addresses

Primary practice location

8695 Spectrum Center Blvd
Room 119
San Diego, CA 92123-1489

Mailing address

3227 Belle Isle Dr
San Diego, CA 92105-2906
Phone (619) 282-6063

Other names 1

  • Ms. Patricia L. Hanson Former name

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
221530DEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265554786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 BELLE ISLE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052906",
            "telephone_number": "619-282-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "address_2": "ROOM 119",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-499-5259",
            "fax_number": "858-499-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAGUE",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "221530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HANSON",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.