Nikiesha Thomas Redus, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014109 Issued in CA

Practice address

3940 Sandpiper Ave
Merced, CA 95340-8372

Phone

(866) 682-4842

NPI assigned

May 5, 2016

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

Other names 1

• Nikiesha Shawnte Thomas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1649626946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "866-682-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 SANDPIPER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408372",
            "telephone_number": "866-682-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDUS",
        "first_name": "NIKIESHA",
        "middle_name": "THOMAS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKIESHA",
            "last_name": "THOMAS",
            "middle_name": "SHAWNTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arani S Reddy, M.D.
• Gundala S Reddy, MD
• Jagadeeshwar Koripelli Reddy, M.D.
• Jaipal Medini Reddy, MD
• Mohan P. Reddy
• Brett Kevin Reed, DC
• Matthew Gary Reed
• Ryan J Reeves, FNP
• Saundra Kay Reeves
• Tiffani Regacho, ATC

• Family Nurse Practitioner in Merced, CA
• Providers in Merced, 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 Nov 2, 2022; 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.