Dayna Iverson, FNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011857 Issued in CA

Practice address

190 S Oak Ave
BLDG 2, Ste 1
Oakdale, CA 95361-3528

Phone

(209) 848-8410

Fax

(209) 848-0732

NPI assigned

Feb 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Pathways Nursing Practitioners, Inc.

  • Rural Health Clinic/Center
  • Oakdale, CA
  • NPI 1982797239

  5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, W-2 Managing Employee

  CMS ownership

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.

• Frank Gavini MD

  • Cardiovascular Disease Physician
  • Hanford, CA
  • NPI 1558790055
  NPD
• Pathways Nursing Practitioners, Inc.

  • Rural Health Clinic/Center
  • Oakdale, CA
  • NPI 1982797239
  NPD

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1326588344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S OAK AVE",
            "address_2": "BLDG 2, STE 1",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613528",
            "telephone_number": "209-848-8410",
            "fax_number": "209-848-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S OAK AVE",
            "address_2": "BLDG 2, STE 1",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613528",
            "telephone_number": "209-848-8410",
            "fax_number": "209-848-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Patterson",
            "state": "CA",
            "postal_code": "953632501",
            "country_code": "US",
            "telephone_number": "209-892-1400",
            "fax_number": "209-892-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "DAYNA",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95119825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Homme, M.A., BCBA
• Eric Hooper
• Horizon Anesthesia and Pain Consultants, Inc.
• Lee Jeffrey Horwitz, M.D.
• Denise Hoskins
• Gina Iverson, RDH
• Arun Jain, MD
• James E Winnick OD Professional Corporation
• Jeanette Kay Lasater
• John H Dayton

• Family Nurse Practitioner in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.