Active NPI
Tina Michele Resseguie
- Other Technician
- Petaluma, CA
National Provider Identifier
1609043397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 599 Tomales Rd
Petaluma, CA 94952-5002 - Phone
- (570) 594-6250
- NPI assigned
- May 12, 2008
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
599 Tomales Rd
Petaluma, CA 94952-5002
Mailing address
1734 Pennsylvania Ave Apt B
Cape May, NJ 08204-4029
Phone (570) 594-6250
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1609043397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 PENNSYLVANIA AVE APT B",
"city": "CAPE MAY",
"state": "NJ",
"postal_code": "082044029",
"telephone_number": "570-594-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 TOMALES RD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949525002",
"telephone_number": "570-594-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESSEGUIE",
"first_name": "TINA",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.