Individual provider Active NPI

Christina Marie Sillman

  • Acute Care Nurse Practitioner
  • West Sacramento, CA
National Provider Identifier
1720625700
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95013478 Issued in CA
Practice address
2439 Barona St
West Sacramento, CA 95691-4943
Phone
(916) 704-8988
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95013478 CA Primary

Addresses

Primary practice location

2439 Barona St
West Sacramento, CA 95691-4943

Mailing address

2439 Barona St
West Sacramento, CA 95691-4943
Phone (916) 704-8988

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210215000430 CA Practitioner - Nurse Practitioner 1355765991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013478CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals CurrentSince Nov 7, 2020 Accepting new patients
Sutter Valley Hospitals Current Accepting new patients
Sutter Valley Hospitals CurrentSince Nov 7, 2020 Accepting new patients

Locations

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

1625 Stockton Blvd
Ste 112
Sacramento, CA 95816
Phone (916) 887-4001

Organizations & group practices 3

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1720625700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 BARONA ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914943",
            "telephone_number": "916-704-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 BARONA ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914943",
            "telephone_number": "916-704-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLMAN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95013478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.