Janet A Nunnally, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14229 Issued in CA

Practice address

400 Professional Center Dr
Suite 424
Novato, CA 94947-4367

Phone

(415) 448-1555

Fax

(415) 892-8732

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: jnunnally585176@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1508514902

  Family

  NPD (past)
• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Novato, CA
  • NPI 1790788107
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619067469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 311",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474334",
            "telephone_number": "415-448-1555",
            "fax_number": "415-892-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 424",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474367",
            "telephone_number": "415-448-1555",
            "fax_number": "415-892-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNALLY",
        "first_name": "JANET",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novato Healthcare Center, LLC (Novato Healthcare Center)
• Novato Internal Medicine Associates
• Novato Unified School District
• Maya Noyman-Fain, M.D.
• Vy Jamie Nugent
• Dana Nussbaum
• Megan Craig O'Brien, MFTI
• Daniel O'Donnell, LMFT
• Meagan Elizabeth Oconnor, MA., LMFT
• Cleda Odiwe

• Family Nurse Practitioner in Novato, CA
• Providers in Novato, CA by specialty
• Family Nurse Practitioner in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.