Andrea Marie Hidalgo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

16159 Issued in CA

Practice address

4041 Lone Tree Way
Ste 110
Antioch, CA 94531-6208

Phone

(925) 757-2900

NPI assigned

Apr 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1699237404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 INVERNESS CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137075",
            "telephone_number": "925-550-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 LONE TREE WAY",
            "address_2": "STE 110",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316208",
            "telephone_number": "925-757-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "16159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea@outreachlabservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4041 Lone Tree Way",
            "address_2": "Ste 110",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945316208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darnell Lamont Hester, RADT
• Hiawatha Harris, Corporation
• Leanne Hick
• Jamiah Hicks
• Diego Hidalgo Medina
• Allison Janai Higginbotham, DO
• Antanae Higginbotham
• Abir Hilal, RPH
• Victoria Louise Hill, CNM
• Lisa Ann Hills, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.