Active NPI
Heather Dooley Cruz, RN, IBCLC
- Registered Nurse
- San Francisco, CA
National Provider Identifier
1659702447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 805212
- Practice address
- 995 Potrero Ave # Ward93
Building 90, 3Rd Floor
San Francisco, CA 94110-2859 - Phone
- (415) 206-8412
- NPI assigned
- Dec 5, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 805212 | CA | Primary |
Addresses
Primary practice location
995 Potrero Ave # Ward93
Building 90, 3Rd Floor
San Francisco, CA 94110-2859
Mailing address
2136 San Jose Ave
Alameda, CA 94501-4916
Phone (415) 269-1969
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805212 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1659702447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 SAN JOSE AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014916",
"telephone_number": "415-269-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 POTRERO AVE # WARD93",
"address_2": "BUILDING 90, 3RD FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102859",
"telephone_number": "415-206-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "HEATHER",
"middle_name": "DOOLEY",
"name_prefix": "Ms.",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "805212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.