Active NPI
Fatmata Nancy Longstreth, RN
- Registered Nurse
- Discovery Bay, CA
National Provider Identifier
1669509923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 548100
- Practice address
- 2366 Winchester Loop
Discovery Bay, CA 94514-1855 - Phone
- (925) 335-4707
- Fax
- (925) 335-4718
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 548100 | CA | Primary |
Addresses
Primary practice location
2366 Winchester Loop
Discovery Bay, CA 94514-1855
Mailing address
100 Ward Street
Martinez, CA 94553
Other names 1
- Mrs. Fatmata Nancy Longstreth
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 |
|---|---|---|---|
| 548100 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669509923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WARD STREET",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2366 WINCHESTER LOOP",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "945141855",
"telephone_number": "925-335-4707",
"fax_number": "925-335-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGSTRETH",
"first_name": "FATMATA",
"middle_name": "NANCY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "548100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FATMATA",
"last_name": "LONGSTRETH",
"middle_name": "NANCY",
"prefix": "MRS.",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Discovery Bay, 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.