Nicole Puanani Ines, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95007108 Issued in CA

Practice address

6840 Via del Oro Ste 210
San Jose, CA 95119-1372

Phone

(408) 284-2280

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nines42456@altamed.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• School Health Clinics of Santa Clara County

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1447390265
  NPD (past)
• School Health Clinics of Santa Clara County

  • Federally Qualified Health Center (FQHC)
  • Gilroy, CA
  • NPI 1689620478
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306365366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MYRTLE RD APT B",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103082",
            "telephone_number": "808-250-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 VIA DEL ORO STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191372",
            "telephone_number": "408-284-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Wool Creek Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951122617",
            "country_code": "US",
            "telephone_number": "408-283-6051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Cunningham Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951221712",
            "country_code": "US",
            "telephone_number": "408-347-5988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1149 E Julian St Bldg H",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161005",
            "country_code": "US",
            "telephone_number": "408-535-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7861 Murray Ave",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950204604",
            "country_code": "US",
            "telephone_number": "408-842-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INES",
        "first_name": "NICOLE",
        "middle_name": "PUANANI",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95007108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Health Center of Santa Clara Valley
• Individual Kneads
• Bette Indman, EDD, MFT
• Nuredin Indris, B.A.
• Venkata Siddardha Varma Indukuri
• Infinity Dental Group
• Infinity Family Home Care, LLC
• Infocus Physical Therapy
• Angela Brooke Ingle, NP
• Brent Thomas Ingram, DDS

• Pediatric Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.