Desiree Nadine Antonelli

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019399 Issued in CA

Practice address

8 Heyman Ave
San Francisco, CA 94110-5126

Phone

(415) 378-7565

NPI assigned

Apr 2, 2022

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1730820093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HEYMAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105126",
            "telephone_number": "415-378-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HEYMAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105126",
            "telephone_number": "415-378-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "DESIREE",
        "middle_name": "NADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNAVAILABLE",
            "identifier": "UNAVAILABLE",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "desiree.antonelli@idealimage.com",
            "affiliation": "N",
            "address_1": "8 Heyman Ave",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941105126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Melina Antichevich
• Antigone Skoulas DDS (Skoulas DDS - The SF Cosmetic Dentist)
• Antipov Dental Inc
• Alexandra Anton, OTR/L
• Michelle Elaine Antone
• Antonia Bercovici, PH.D. Inc.
• Michael J. Antonini, D.D.S.
• Christian Karl Antonio
• Ianina Antonio, LMFT 104522
• Diana M. Antoniucci, MD

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.