Individual provider Active NPI

Deborah A Baad, F.N.P., B.C.

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1740339647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16624 Issued in CA
Practice address
7811 Laguna Blvd
Suite 170
Elk Grove, CA 95758-7941
Phone
(916) 691-4300
Fax
(916) 691-4302
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16624 CA Primary

Addresses

Primary practice location

7811 Laguna Blvd
Suite 170
Elk Grove, CA 95758-7941

Mailing address

8713 Cooperston Way
Elk Grove, CA 95624-3066
Phone (916) 686-5113

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740339647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 COOPERSTON WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243066",
            "telephone_number": "916-686-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 LAGUNA BLVD",
            "address_2": "SUITE 170",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587941",
            "telephone_number": "916-691-4300",
            "fax_number": "916-691-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAAD",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "F.N.P., B.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.