Active NPI
Veronica C Pehl
- Case Management Registered Nurse
- Modesto, CA
National Provider Identifier
1437333697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN 504695
- Practice address
- 830 Scenic Dr BLDG 3
Modesto, CA 95350-6131 - Phone
- (209) 558-6815
- NPI assigned
- Dec 24, 2007
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN 504695 | CA | Primary |
Addresses
Primary practice location
830 Scenic Dr BLDG 3
Modesto, CA 95350-6131
Mailing address
Hsa 830 Scenic Dr. BLDG 3
Modesto, CA 95320
Phone (209) 558-6815
Other names 1
- Veronica C Souza
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 504695 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1437333697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HSA 830 SCENIC DR. BLDG 3",
"city": "MODESTO",
"state": "CA",
"postal_code": "95320",
"telephone_number": "209-558-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 SCENIC DR BLDG 3",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506131",
"telephone_number": "209-558-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEHL",
"first_name": "VERONICA",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "RN 504695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "SOUZA",
"middle_name": "C",
"credential": "RN, PHN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.