Individual provider Active NPI

Julie Fadness, FNP

  • Family Nurse Practitioner
  • Mount Shasta, CA
National Provider Identifier
1740625516
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23146 Issued in CA
Practice address
101 Old McCloud Rd
Mount Shasta, CA 96067-2796
Phone
(530) 926-5100
NPI assigned
May 6, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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 23146 CA Primary

Addresses

Primary practice location

101 Old McCloud Rd
Mount Shasta, CA 96067-2796

Mailing address

6716 Shasta CV
Weed, CA 96094-9776

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
I20130905000275 CA Practitioner - Nurse Practitioner 3971746207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valleys Health CentersGroup PAC ID 4284685538, 33 clinicians

Practice addresses (Care Compare)

101 Old McCloud Rd
Mount Shasta, CA 96067-2796
Phone (530) 999-9040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valleys Health Centers Current Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Apr 12, 2014 Accepting new patients
Mountain Valleys Health Centers CurrentSince Jan 7, 2022 Accepting new patients
Mountain Valleys Health Centers CurrentSince Jan 7, 2022 Accepting new patients
Mayers Memorial Hospital District Current Accepting new patients

Locations

554-850 Medical Center Dr
Bieber, CA 96009
Phone (530) 294-5629

37491 Enterprise Dr
Burney, CA 96013
Phone (530) 335-5457

610 W 3rd St
Dorris, CA 96023
Phone (530) 397-8411

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

101 Old McCloud Rd
Mount Shasta, CA 96067
Phone (530) 926-5100

50 Alamo Ave
Weed, CA 96094
Phone (530) 938-3491

Interoperability endpoints

  • Direct secure messaging: jfadness678479@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1740625516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 SHASTA CV",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960949776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD MCCLOUD RD",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672796",
            "telephone_number": "530-926-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADNESS",
        "first_name": "JULIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

Verify at the official NPI Registry.