Active NPI
Denise Lorrie Souza, MSN, ANP-BC
- Adult Health Nurse Practitioner
- Lincoln, CA
National Provider Identifier
1740455468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 378173
- Practice address
- 1874 Emily LN
Lincoln, CA 95648-8644 - Phone
- (916) 300-1536
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 378173 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 378173 | CA | Primary |
| Occupational Health Nurse Practitioner | 363LX0106X | 378173 | CA |
Addresses
Primary practice location
1874 Emily LN
Lincoln, CA 95648-8644
Mailing address
1874 Emily LN
Lincoln, CA 95648-8644
Phone (916) 300-1536
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 378173 | CA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Sutter West Bay Medical Foundation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Yuba City, CA
- NPI 1144251521
-
- Family Medicine Physician
- Santa Rosa, CA
- NPI 1346575073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1740455468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1874 EMILY LN",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488644",
"telephone_number": "916-300-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 EMILY LN",
"city": "LINCOLN",
"state": "CA",
"postal_code": "956488644",
"telephone_number": "916-300-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "DENISE",
"middle_name": "LORRIE",
"credential": "MSN, ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "378173",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "378173",
"primary": true
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "378173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.