Active NPI
Mercy Medical Group
- Adult Health Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1457689143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 19332
- Legal business name
- MERCY MEDICAL GROUP
- Practice address
- 3000 Q St
Sacramento, CA 95816-7058 - Phone
- (916) 733-3411
- NPI assigned
- Nov 18, 2009
- Last updated
- Nov 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Sieber
- Title
- Credentialing Specialist
- Phone
- (916) 733-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 19332 | CA | Primary |
Addresses
Primary practice location
3000 Q St
Sacramento, CA 95816-7058
Mailing address
3000 Q St
Sacramento, CA 95816-7058
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1457689143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 Q ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 Q ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167058",
"telephone_number": "916-733-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "SIEBER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "916-733-3411"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "19332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.