Individual provider Active NPI

Edie Monique Garcia, FNP/PA

  • Family Nurse Practitioner
  • Carmel, CA
National Provider Identifier
1619983889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN504202/ NP8863 Issued in CA
Practice address
27880 Dorris Dr
Ste 100
Carmel, CA 93923-8581
Phone
(831) 626-4469
Fax
(831) 626-6041
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

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
Family Nurse Practitioner 363LF0000X RN504202/ NP8863 CA Primary

Addresses

Primary practice location

27880 Dorris Dr
Ste 100
Carmel, CA 93923-8581

Mailing address

27880 Dorris Dr
Ste 100
Carmel, CA 93923-8581
Phone (831) 626-4469

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
RN504202/ NP8863CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher E. Clevenger, M.D., Inc. Current Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619983889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27880 DORRIS DR",
            "address_2": "STE 100",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238581",
            "telephone_number": "831-626-4469",
            "fax_number": "831-626-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27880 DORRIS DR",
            "address_2": "STE 100",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238581",
            "telephone_number": "831-626-4469",
            "fax_number": "831-626-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EDIE",
        "middle_name": "MONIQUE",
        "credential": "FNP/PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN504202/ NP8863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, 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.