Active NPI
Grace Eleanor Amarali, RN
- Case Management Registered Nurse
- Santa Rosa, CA
National Provider Identifier
1467641142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN467219
- Practice address
- 2523 Westberry Dr
Santa Rosa, CA 95403-4183 - Phone
- (707) 544-4703
- NPI assigned
- Oct 18, 2007
- Last updated
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN467219 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X | RVN004520 | CA |
Addresses
Primary practice location
2523 Westberry Dr
Santa Rosa, CA 95403-4183
Mailing address
2523 Westberry Drive
Santa Rosa, CA 95403-4183
Phone (707) 544-4703
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN467219 | Other | CA | REGISTERED NURSE |
| RVN004520 | Other | CA | DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| RN467219 | CA | MD | Case Management Registered Nurse |
| RVN004520 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1467641142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2523 WESTBERRY DRIVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954034183",
"telephone_number": "707-544-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2523 WESTBERRY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954034183",
"telephone_number": "707-544-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMARALI",
"first_name": "GRACE",
"middle_name": "ELEANOR",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "RN467219",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "RVN004520",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "RN467219",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "RVN004520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.