Individual provider Active NPI

Denise Palecek

  • College Health Registered Nurse
  • Turlock, CA
National Provider Identifier
1760093074
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
620131 Issued in CA
Practice address
1 University Cir
Building 29
Turlock, CA 95382-3200
Phone
(209) 667-3396
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 620131 CA Primary

Addresses

Primary practice location

1 University Cir
Building 29
Turlock, CA 95382-3200

Mailing address

1 University Cir
Turlock, CA 95382-3200
Phone (209) 667-3396

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

State licenses

LicenseStateTypeSpecialty
620131CAMDCollege Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
California State University, Stanislaus Student Health Center PastSince Aug 23, 2020 Accepting new patients
California State University Stanislaus PastSince Aug 23, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1760093074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953823200",
            "telephone_number": "209-667-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "address_2": "BUILDING 29",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953823200",
            "telephone_number": "209-667-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALECEK",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "620131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.