Individual provider Active NPI

Barbra Dela Merced, MSN, RN, CRRN

  • Registered Nurse
  • Placerville, CA
National Provider Identifier
1689408304
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95376726 Issued in CA
Practice address
300 Forni Rd
Placerville, CA 95667-5400
Phone
(530) 621-6017
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95376726 CA Primary

Addresses

Primary practice location

300 Forni Rd
Placerville, CA 95667-5400

Mailing address

948 Farmhouse Way
Folsom, CA 95630-3396

Other practice location 1

948 Farmhouse Way
Folsom, CA 95630-3396
Phone (615) 668-1167

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95376726CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1689408304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 FARMHOUSE WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FORNI RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675400",
            "telephone_number": "530-621-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "948 Farmhouse Way",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303396",
            "country_code": "US",
            "telephone_number": "615-668-1167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA MERCED",
        "first_name": "BARBRA",
        "credential": "MSN, RN, CRRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95376726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.