Individual provider Active NPI

Emilee Ann Pruitt, RN, RCSN

  • School Registered Nurse
  • Portola, CA
National Provider Identifier
1760295679
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95090488 Issued in CA
Practice address
895 West St
Portola, CA 96122-6502
Phone
(530) 832-0211
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 95090488 CA Primary

Addresses

Primary practice location

895 West St
Portola, CA 96122-6502

Mailing address

895 West St
Portola, CA 96122-6502
Phone (530) 832-0211

Other practice location 1

50 Church St
Quincy, CA 95971-9451
Phone (530) 283-6500 ext. 4135

Other practice location 2

155 6th Ave
Portola, CA 96122-9543
Phone (530) 832-4284 ext. 4413

Other names 1

  • Emilee Ann Williamson Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95090488CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1760295679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 WEST ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961226502",
            "telephone_number": "530-832-0211",
            "fax_number": "530-832-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 WEST ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961226502",
            "telephone_number": "530-832-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Church St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "CA",
            "postal_code": "959719451",
            "country_code": "US",
            "telephone_number": "530-283-6500 x4135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Portola",
            "state": "CA",
            "postal_code": "961229543",
            "country_code": "US",
            "telephone_number": "530-832-4284 x4413",
            "fax_number": "530-832-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "EMILEE",
        "middle_name": "ANN",
        "credential": "RN, RCSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95090488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILEE",
            "last_name": "WILLIAMSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.