Individual provider Active NPI

Jamie T Sotka, RN

  • Registered Nurse
  • Fallon, NV
National Provider Identifier
1417284381
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN34792 Issued in NV
Practice address
141 Keddie St
Fallon, NV 89406-2820
Phone
(775) 423-7141
Fax
(775) 423-4020
NPI assigned
Nov 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN34792 NV Primary

Addresses

Primary practice location

141 Keddie St
Fallon, NV 89406-2820

Mailing address

141 Keddie St
Fallon, NV 89406-2820
Phone (775) 423-7141

Other identifiers 1

IdentifierTypeStateIssuer
RN34792OtherNVREGISTERED NURSE

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN34792NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1417284381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 KEDDIE ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062820",
            "telephone_number": "775-423-7141",
            "fax_number": "775-423-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 KEDDIE ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062820",
            "telephone_number": "775-423-7141",
            "fax_number": "775-423-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTKA",
        "first_name": "JAMIE",
        "middle_name": "T",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN34792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN34792",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.