Active NPI
Tamara Watts
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1528836202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95105325
- Practice address
- 8009 Bruceville Rd Ste 100
Sacramento, CA 95823-2332 - Phone
- (916) 288-0326
- NPI assigned
- Dec 13, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95105325 | CA | Primary |
Addresses
Primary practice location
8009 Bruceville Rd Ste 100
Sacramento, CA 95823-2332
Mailing address
9401 Red Spruce Way
Elk Grove, CA 95624-4417
Phone (916) 753-9882
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 |
|---|---|---|---|
| 95105325 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Sierra Vista Hospital Inc. | Current | Accepting new patients |
Locations
8009 Bruceville Rd
Ste 100
Sacramento, CA 95823
Phone (916) 288-0326
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.
-
- Adult Mental Health Clinic/Center
- Sacramento, CA
- NPI 1326736406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1528836202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 RED SPRUCE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244417",
"telephone_number": "916-753-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8009 BRUCEVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232332",
"telephone_number": "916-288-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95105325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.