Francine Suzanne Cullivan

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN274940 Issued in CA

Practice address

2104 Rosamond St Apt 2
Shasta Lake, CA 96019-9459

Phone

(530) 806-3921

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1366153934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960191257",
            "telephone_number": "530-806-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 ROSAMOND ST APT 2",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199459",
            "telephone_number": "530-806-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLIVAN",
        "first_name": "FRANCINE",
        "middle_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN274940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "2104 Rosamond St Apt 2",
            "city": "Shasta Lake",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960199459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronald G Chambers I, M.D.
• Dennis Chandler Jr.
• Natalie Codianne, PHARMD
• Terri Anne Corpuz, PHARM D
• Lisa Marie Corral
• Stephen Davids
• Peggy Jane Deforest, P.A.
• Denise Dilts-Waldrop
• Lisa Marie Dinubilo, PHARM. D
• James G Earle, M.P.T., C.S.C.S.

• Licensed Vocational Nurse in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.