Individual provider Active NPI

Deanna L Noll, NP

  • Family Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1467202283
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029547 Issued in CA
Practice address
11843 Whittier Blvd
Whittier, CA 90601-3941
Phone
(562) 325-5336
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029547 CA Primary

Addresses

Primary practice location

11843 Whittier Blvd
Whittier, CA 90601-3941

Mailing address

11843 Whittier Blvd
Whittier, CA 90601-3941
Phone (562) 325-5336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328001575 CA Practitioner - Nurse Practitioner 1153844378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029547CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All in One Clinic Inc CurrentSince Jan 17, 2025 Accepting new patients

Locations

11843 Whittier Blvd
Whittier, CA 90601
Phone (562) 325-5336

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21337/brand/1/csg/1/fhir/r4
  • Direct secure messaging: deanna.noll.1@21337.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1467202283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013941",
            "telephone_number": "562-325-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11843 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906013941",
            "telephone_number": "562-325-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "DEANNA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.