Active NPI
Gina Marie Brown, RNFA
- Registered Nurse First Assistant
- Santa Cruz, CA
National Provider Identifier
1487921847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN456428
- Practice address
- 2900 Chanticleer Ave
Santa Cruz, CA 95065-1816 - Phone
- (831) 345-5347
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN456428 | CA | MD | Registered Nurse First Assistant |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN456428 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
Mailing address
PO Box 1777
Soquel, CA 95073-1777
Phone (831) 345-5347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2011.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1487921847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1777",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950731777",
"telephone_number": "831-345-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CHANTICLEER AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651816",
"telephone_number": "831-345-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "RN456428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.