Collette Dacruz, R.N., C.D.E.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

411404 Issued in CA

Practice address

1010 Nut Tree Rd
Suite 100B
Vacaville, CA 95687-4172

Phone

(707) 624-7999

Fax

(707) 624-7998

NPI assigned

Aug 3, 2015

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

Other names 1

• Collette Dacruz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1730565698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NUT TREE RD",
            "address_2": "SUITE 100B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874172",
            "telephone_number": "707-624-7999",
            "fax_number": "707-624-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NUT TREE RD",
            "address_2": "SUITE 100B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874172",
            "telephone_number": "707-624-7999",
            "fax_number": "707-624-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACRUZ",
        "first_name": "COLLETTE",
        "credential": "R.N., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "411404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLETTE",
            "last_name": "DACRUZ",
            "credential": "RN, CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adra Marie Cummings, LMFT
• Curated Solutions Inc
• Kelly A Curtis
• Spencer Joseph Curtis, M.D.
• Eric Czarnick, PHARMD
• Renelle Damasco
• Darlene L Dangerfield
• Daniel Capponi DDS Apc
• Amanda Dargush, PHARM D
• Ella Faye Darling

• Diabetes Educator Registered Nurse in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.