Individual provider Active NPI

Patricia Perrotta Sodaro, RN NP

  • Ambulatory Women's Health Care Registered Nurse
  • Frisco, TX
National Provider Identifier
1356726681
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
295731 3533 Issued in CA
Practice address
5480 Buena Vista Dr
Frisco, TX 75034-2255
Phone
(469) 464-5133
Fax
(972) 292-0301
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Women's Health Care Registered Nurse 163WW0101X 295731 3533 CA Primary

Addresses

Primary practice location

5480 Buena Vista Dr
Frisco, TX 75034-2255

Mailing address

41607 Margarita Rd
Suite 100
Temecula, CA 92591-2984
Phone (951) 719-3233

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)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
295731 3533CAMDAmbulatory Women's Health Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1356726681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41607 MARGARITA RD",
            "address_2": "SUITE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925912984",
            "telephone_number": "951-719-3233",
            "fax_number": "951-719-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BUENA VISTA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750342255",
            "telephone_number": "469-464-5133",
            "fax_number": "972-292-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODARO",
        "first_name": "PATRICIA",
        "middle_name": "PERROTTA",
        "name_prefix": "Mrs.",
        "credential": "RN NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "295731 3533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.