Individual provider Active NPI

Joseline Elizabeth Laryea

  • Hospice Registered Nurse
  • Sacramento, CA
National Provider Identifier
1497401764
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
95119985 Issued in CA
Practice address
2775 Cottage Way Ste 18
Sacramento, CA 95825-1220
Phone
(916) 993-8731
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 95119985 CA Primary

Addresses

Primary practice location

2775 Cottage Way Ste 18
Sacramento, CA 95825-1220

Mailing address

2775 Cottage Way Ste 18
Sacramento, CA 95825-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95119985CAMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Therapy Services, LLC CurrentSince Sep 26, 2023 Accepting new patients

Locations

4025 Woodland Park Blvd
Ste 190
Arlington, TX 76013
Phone (615) 344-4783

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1497401764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 COTTAGE WAY STE 18",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 COTTAGE WAY STE 18",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251220",
            "telephone_number": "916-993-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARYEA",
        "first_name": "JOSELINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "95119985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.