Active NPI
Joan E Briceno, FNP
- Nurse Practitioner
- Bakersfield, CA
National Provider Identifier
1306911219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP16663
- Practice address
- 525 Roberts Lane
Bakersfield, CA 93308 - Phone
- (661) 392-7850
- Fax
- (661) 215-2349
- NPI assigned
- Nov 24, 2006
- Last updated
- Jan 23, 2012
- 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 | NP16663 | CA | Primary |
Addresses
Primary practice location
525 Roberts Lane
Bakersfield, CA 93308
Mailing address
659 S. Central Valley Hwy
P.O. Box 1060
Shafter, CA 93263-2790
Phone (760) 632-0599
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 |
|---|---|---|---|
| 16663 | CA | MD | Speech-Language Pathologist |
| NP16663 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Family Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Tehachapi, CA
- NPI 1851325021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1306911219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 S. CENTRAL VALLEY HWY",
"address_2": "P.O. BOX 1060",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932632790",
"telephone_number": "760-632-0599",
"fax_number": "760-726-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ROBERTS LANE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93308",
"telephone_number": "661-392-7850",
"fax_number": "661-215-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICENO",
"first_name": "JOAN",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP16663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Sarah Bridges, MA, BCBA
- Bailey Ann Briggs
- Edwards Douglas Bright, MSN FNP
- Brighter Days Ahead LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.