Individual provider Active NPI

Carole Sixt Fleming, NP

  • Family Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1740340165
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005050 Issued in CA
Practice address
122 La Alondra CT
San Rafael, CA 94903-4519
Phone
(650) 250-2883
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 95005050 CA Primary

Addresses

Primary practice location

122 La Alondra CT
San Rafael, CA 94903-4519

Mailing address

122 La Alondra CT
San Rafael, CA 94903-4519
Phone (650) 250-2883

Other practice location 1

266 N Jackson Ave
San Jose, CA 95116-1606
Phone (408) 937-7581

Other practice location 2

373 S Redwood Ave
San Jose, CA 95128-5109
Phone (650) 250-2883

Other practice location 3

2154 Dumbarton Ave
East Palo Alto, CA 94303-1511
Phone (650) 250-2883

Other names 1

  • Carole Jeanne Sixt Former name

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
I20190925001857 CA Practitioner - Nurse Practitioner 8022348663 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Sep 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2019 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2019 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients
Phillip Tse, MD Medical Corporation Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: carole.fleming@13475020865540.direct.elationemr.com

Organizations & group practices 7

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1740340165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LA ALONDRA CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034519",
            "telephone_number": "650-250-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LA ALONDRA CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034519",
            "telephone_number": "650-250-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 N Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161606",
            "country_code": "US",
            "telephone_number": "408-937-7581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "373 S Redwood Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951285109",
            "country_code": "US",
            "telephone_number": "650-250-2883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2154 Dumbarton Ave",
            "address_purpose": "LOCATION",
            "city": "East Palo Alto",
            "state": "CA",
            "postal_code": "943031511",
            "country_code": "US",
            "telephone_number": "650-250-2883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "CAROLE",
        "middle_name": "SIXT",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "SIXT",
            "middle_name": "JEANNE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.