Active NPI
Sally Ilene Bratton, FNP
- School Nurse Practitioner
- Fremont, CA
National Provider Identifier
1659397412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- 232999
- Practice address
- 43600 Mission Blvd # 16
Fremont, CA 94539-5847 - Phone
- (510) 659-6258
- Fax
- (510) 659-6218
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 232999 | CA | Primary |
Addresses
Primary practice location
43600 Mission Blvd # 16
Fremont, CA 94539-5847
Mailing address
43600 Mission Blvd # 16
Fremont, CA 94539-5847
Phone (510) 659-6258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232999 | CA | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659397412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43600 MISSION BLVD # 16",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395847",
"telephone_number": "510-659-6258",
"fax_number": "510-659-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43600 MISSION BLVD # 16",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395847",
"telephone_number": "510-659-6258",
"fax_number": "510-659-6218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATTON",
"first_name": "SALLY",
"middle_name": "ILENE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "CA",
"license": "232999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.