Individual provider Active NPI

Nicole O'Neil, FNP

  • Primary Care Nurse Practitioner
  • Menifee, CA
National Provider Identifier
1548776446
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95008194 Issued in CA
Practice address
29826 Haun Rd Suite 300
Menifee, CA 92584
Phone
(951) 679-7022
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008194 CA
Primary Care Nurse Practitioner 363LP2300X 95008194 CA Primary

Addresses

Primary practice location

29826 Haun Rd Suite 300
Menifee, CA 92584

Mailing address

29826 Haun Rd Ste 300
Menifee, CA 92586-6547

Other practice location 1

18-1228 Kona Street
Mountain View, HI 96771
Phone (951) 331-0071

Other practice location 2

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905
Phone (800) 465-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515000929 CA Order and Referring Only - Nurse Practitioner 7911391024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008194CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Path Integrative Care Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: oneil.nicole.1@3408.direct.athenahealth.com

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": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1548776446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD STE 300",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD SUITE 300",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92584",
            "telephone_number": "951-679-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18-1228 Kona Street",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "HI",
            "postal_code": "96771",
            "country_code": "US",
            "telephone_number": "951-331-0071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 Century Park E Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672905",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008194",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.