Organization Active NPI

Nurse Practitioner Services for Advance Practice Nursing Inc.

  • Family Nurse Practitioner
  • Cypress, CA
National Provider Identifier
1508909151
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP10567 Issued in CA
Legal business name
NURSE PRACTITIONER SERVICES FOR ADVANCE PRACTICE NURSING INC.
Practice address
9431 Alderbury St
Cypress, CA 90630-2855
Phone
(949) 842-9353
Fax
(714) 828-1759
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Jill Suzanne Shelton, NP
Title
President
Phone
(949) 842-9353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X NP10567 CA Primary

Addresses

Primary practice location

9431 Alderbury St
Cypress, CA 90630-2855

Mailing address

PO Box 11691
Newport Beach, CA 92658-5038
Phone (949) 842-9353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1508909151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11691",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585038",
            "telephone_number": "949-842-9353",
            "fax_number": "714-828-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 ALDERBURY ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302855",
            "telephone_number": "949-842-9353",
            "fax_number": "714-828-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER SERVICES FOR ADVANCE PRACTICE NURSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-842-9353",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.