Active NPI
Deanna Fossen, NP
- Family Nurse Practitioner
- Sonora, CA
National Provider Identifier
1487104899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19538
- Practice address
- 680 Guzzi LN
Suite 105
Sonora, CA 95370-5288 - Phone
- (209) 532-0126
- NPI assigned
- Oct 10, 2016
- Last updated
- Oct 10, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19538 | CA | Primary |
Addresses
Primary practice location
680 Guzzi LN
Suite 105
Sonora, CA 95370-5288
Mailing address
680 Guzzi LN
Suite 105
Sonora, CA 95370-5288
Phone (209) 532-0126
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1487104899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 GUZZI LN",
"address_2": "SUITE 105",
"city": "SONORA",
"state": "CA",
"postal_code": "953705288",
"telephone_number": "209-532-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 GUZZI LN",
"address_2": "SUITE 105",
"city": "SONORA",
"state": "CA",
"postal_code": "953705288",
"telephone_number": "209-532-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSSEN",
"first_name": "DEANNA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "19538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.