Active NPI
Nikkia Renee Patterson, BSN, MCPD
- Doula
- Sacramento, CA
National Provider Identifier
1609385954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 2825 Capitol Ave
Sacramento, CA 95816-6039 - Phone
- (510) 768-8433
- NPI assigned
- Sep 29, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Registered Nurse | 163W00000X | 95356401 | CA | |
| Health & Wellness Coach | 171400000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
2825 Capitol Ave
Sacramento, CA 95816-6039
Mailing address
5960 S Land Park Dr # 1409
Sacramento, CA 95822-3313
Phone (510) 768-8433
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95356401 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Indi Womens Club LLC | Health & Wellness Coach | Current | Accepting new patients |
| Haven-Refuge for Pregnancy and Birth | Doula | Past | Accepting new patients |
Locations
2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000
Organizations & group practices 2
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.
-
- Doula
- Sacramento, CA
- NPI 1194395400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697932800000",
"number": "1609385954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5960 S LAND PARK DR # 1409",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223313",
"telephone_number": "510-768-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 CAPITOL AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958166039",
"telephone_number": "510-768-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "NIKKIA",
"middle_name": "RENEE",
"credential": "BSN, MCPD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-29",
"last_updated": "2023-10-22",
"certification_date": "2023-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95356401",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"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 Oct 22, 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.