Active NPI
Emily Silva Mack, FNP-C
- Family Nurse Practitioner
- Roseville, CA
National Provider Identifier
1740566959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20358
- Practice address
- 2235 Douglas Blvd Ste 510
Roseville, CA 95661-4266 - Phone
- (916) 446-4449
- Fax
- (916) 446-9370
- NPI assigned
- Nov 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20358 | CA | Primary |
Addresses
Primary practice location
2235 Douglas Blvd Ste 510
Roseville, CA 95661-4266
Mailing address
2235 Douglas Blvd Ste 510
Roseville, CA 95661-4266
Phone (916) 446-4449
Other names 1
- Mrs. Emily S Mack
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20358 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Medical Extended Care | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4
- epack188911@hisp.ehr.sutterhealth.org
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.
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1982766374
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1295131092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1740566959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 DOUGLAS BLVD STE 510",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614266",
"telephone_number": "916-446-4449",
"fax_number": "916-446-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 DOUGLAS BLVD STE 510",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614266",
"telephone_number": "916-446-4449",
"fax_number": "916-446-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "EMILY",
"middle_name": "SILVA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "MACK",
"middle_name": "S",
"prefix": "MRS.",
"credential": "FNP-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.