Individual provider Active NPI

Niamh I Van Meines, MS, ANP-BC

  • Adult Health Nurse Practitioner
  • Eureka, CA
National Provider Identifier
1669674966
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95005738 Issued in CA
Practice address
2440 23Rd St Ste B
Eureka, CA 95501-3203
Phone
(707) 442-5683
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95110811 CA
Adult Health Nurse Practitioner 363LA2200X 95005738 CA Primary

Addresses

Primary practice location

2440 23Rd St Ste B
Eureka, CA 95501-3203

Mailing address

117 Brookline St
Moraga, CA 94556-1016
Phone (925) 592-0970

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005738CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince May 12, 2022 Accepting new patients
Madrone Care Network LLC CurrentSince Jul 13, 2020 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Resolutioncare, PC Past Accepting new patients

Locations

2470 Hilborn Rd
Ste 110
Fairfield, CA 94534
Phone (707) 646-4699

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nvanmeines412251@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669674966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROOKLINE ST",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561016",
            "telephone_number": "925-592-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 23RD ST STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013203",
            "telephone_number": "707-442-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MEINES",
        "first_name": "NIAMH",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MS, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95110811",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95005738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.