Kristine Grace Dela Cruz Van Tassel, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004410 Issued in CA

Practice address

7811 Laguna Blvd Ste 161
Elk Grove, CA 95758-7949

Phone

(916) 877-7778

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1447609805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8657 GOSSAMER WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243265",
            "telephone_number": "916-801-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD STE 161",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587949",
            "telephone_number": "916-877-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Swallows Nest Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958339712",
            "country_code": "US",
            "telephone_number": "916-801-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN TASSEL",
        "first_name": "KRISTINE GRACE",
        "middle_name": "DELA CRUZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Hope Vallejo
• Laura Beth Valtierra, BCBA
• Sarah Ynez Van Buren, LCSW
• Van Dang, D.D.S., a Professional Dental Corporation
• Julia Van Horn, AMFT
• Gerry M. Vander Velde, MD
• Vanessa Ulibas
• Mai Ker Vang-Yang, PHARMD
• Amber Vang
• Annita Vang

• Family Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.