Simone Pauline

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7171 Bowling Dr Ste 300
Sacramento, CA 95823-2043

Phone

(916) 883-5028

NPI assigned

May 24, 2023

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1568154805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 OAKHOLLOW DR APT 183",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958424020",
            "telephone_number": "916-799-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BOWLING DR STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232043",
            "telephone_number": "916-883-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINE",
        "first_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Kenney Licensed Marriage and Family Therapist Inc
• Paula Vang OD Inc (Insight Optometric)
• Dawn Paule
• Vivian Rose Pauley, MD
• Martha W Pauli, PHARMD
• Jessica Alejandra Paulino
• Anton Raymond Paulson, PSY
• Caitlyn Elizabeth Paulson, LMFT
• Lisa Marie Paulson
• Mary Patricia Pauly, MD

• Community Health Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.