Individual provider Active NPI

Carol S Segler, R.N,M.S.,CNS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Kentfield, CA
National Provider Identifier
1578633574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
Practice address
1010 Sir Frances Sir Frances Drake Boulevard
Kentfield, CA 94904
Phone
(415) 461-6432
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X CA Primary

Addresses

Primary practice location

1010 Sir Frances Sir Frances Drake Boulevard
Kentfield, CA 94904

Mailing address

187 Whittier Ave
San Rafael, CA 94903-2832
Phone (415) 461-6432

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
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN213386,CNS738CAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578633574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WHITTIER AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032832",
            "telephone_number": "415-461-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SIR FRANCES SIR FRANCES DRAKE BOULEVARD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-461-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGLER",
        "first_name": "CAROL",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "R.N,M.S.,CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.