Active NPI
Irene L Belknapp, NP
- Nurse Practitioner
- Rialto, CA
National Provider Identifier
1275556706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP6678
- Practice address
- 850 E Foothill Blvd
Rialto, CA 92376-5230 - Phone
- (855) 422-8029
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP6678 | CA | Primary |
Addresses
Primary practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
Mailing address
850 E Foothill Blvd
Rialto, CA 92376-5230
Phone (855) 422-8029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN452535 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP6678 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1275556706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765230",
"telephone_number": "855-422-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765230",
"telephone_number": "855-422-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELKNAPP",
"first_name": "IRENE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP6678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN452535",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.