Active NPI
Donna Sue McAuley, FNP CMW
- Nurse Practitioner
- Bishop, CA
National Provider Identifier
1386719342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5783
- Practice address
- 686 W Line St
Bishop, CA 93514-3315 - Phone
- (760) 872-4311
- Fax
- (760) 872-4130
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 5783 | CA | Primary |
Addresses
Primary practice location
686 W Line St
Bishop, CA 93514-3315
Mailing address
686 W Line St
Bishop, CA 93514-3315
Phone (760) 872-4311
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C371720 | Other | CA | BLUE CROSS |
| 366 | Other | CA | NURSE MIDWIFE |
| 00C371720 | Other | CA | BLUE SHEILD |
| 201575 | Other | CA | REGISTERED NURSE |
| GR0021672 | Medicaid | CA | |
| 5783 | Other | CA | NURSE PRACTITIONER |
| 770051426001 | Other | CA | TRICARE |
| RHM53941F | Medicaid | CA |
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 |
|---|---|---|---|
| 5783 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1386719342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 W LINE ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935143315",
"telephone_number": "760-872-4311",
"fax_number": "760-872-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 W LINE ST",
"city": "BISHOP",
"state": "CA",
"postal_code": "935143315",
"telephone_number": "760-872-4311",
"fax_number": "760-872-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAULEY",
"first_name": "DONNA",
"middle_name": "SUE",
"credential": "FNP CMW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00C371720",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE MIDWIFE",
"identifier": "366",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD",
"identifier": "00C371720",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "201575",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0021672",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "5783",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "770051426001",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM53941F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.