Active NPI
Shasta Concierge Registered Nursing Care Apc
- Primary Care Nurse Practitioner
- Redding, CA
National Provider Identifier
1275338386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- SHASTA CONCIERGE REGISTERED NURSING CARE APC
- Practice address
- 620 Locust St
Redding, CA 96001-2710 - Phone
- (530) 227-1645
- NPI assigned
- Feb 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Davis
- Title
- NP
- Phone
- (530) 227-1645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
620 Locust St
Redding, CA 96001-2710
Mailing address
620 Locust St
Redding, CA 96001-2710
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Red Bluff, CA
- NPI 1265005110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1275338386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 LOCUST ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960012710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 LOCUST ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960012710",
"telephone_number": "530-227-1645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHASTA CONCIERGE REGISTERED NURSING CARE APC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "530-227-1645"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.