Kerrie Suzanne North-Calderon, PA C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

PA13061 Issued in CA

Practice address

1095 Marshall Way
Placerville, CA 95667-8238

Phone

(530) 626-2920

Fax

(530) 626-2974

NPI assigned

Dec 13, 2005

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

Physician Assistant

State licenses

Practice roles

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.

• Shingle Springs Rancheria

  • Health Service Clinic/Center
  • Placerville, CA
  • NPI 1245356674
  Medicare reassignment
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1669457693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-2920",
            "fax_number": "530-626-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678238",
            "telephone_number": "530-626-2920",
            "fax_number": "530-626-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH-CALDERON",
        "first_name": "KERRIE",
        "middle_name": "SUZANNE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "PA13061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thienthy Nguyen, AMFT
• Nicholas D. Simopoulos MD Inc
• Aryon Michelle Nielsen, PA-C
• Nora Roman M.D. a Professional Corporation
• Rebecca C Norris, MS, IMFT 47645
• Leilani Norton, M.D.
• Michelle Renee Nowka
• Vincent Patrick O'Brien Guerrero, MD, MBA
• Jocelyne Renee O'Connor, FNP
• Shaun Christopher O'Malley, CATC II

• Nurse Practitioner in Placerville, CA
• Providers in Placerville, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.