Active NPI
Kerry Niemann, RN
- Registered Nurse
- Sebastopol, CA
National Provider Identifier
1427418771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95065902
- Practice address
- 514 Sandretto Dr
Sebastopol, CA 95472-8702 - Phone
- (415) 572-5775
- Fax
- (707) 829-2292
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95065902 | CA | Primary |
Addresses
Primary practice location
514 Sandretto Dr
Sebastopol, CA 95472-8702
Mailing address
514 Sandretto Dr
Sebastopol, CA 95472-8702
Phone (415) 572-5775
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95065902 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1427418771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 SANDRETTO DR",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954728702",
"telephone_number": "415-572-5775",
"fax_number": "707-829-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 SANDRETTO DR",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954728702",
"telephone_number": "415-572-5775",
"fax_number": "707-829-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMANN",
"first_name": "KERRY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95065902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
- Ellerie Nagy, N.D.
- Larry Minoru Nakashima, D.D.S.
- Nataliya Vorobets Dental Corporation
- Anna Eraquin Nelson, ASW
- Nicholas Giardino PHD Psychology PC
- North Coast Faculty Medical Group Inc
- North Coast Faculty Medical Group Inc
- Northern California Medical Assoc Inc
- Northern California Medical Assoc Inc
- Flannery Norton, MA, PPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.