Individual provider Active NPI

Deatra Finley, RN

  • Emergency Registered Nurse
  • Montclair, CA
National Provider Identifier
1770281396
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
662824 Issued in CA
Practice address
4651 Holt Blvd Ste H
Montclair, CA 91763-4730
Phone
(909) 681-2106
NPI assigned
Feb 22, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 662824 CA
Emergency Registered Nurse 163WE0003X 662824 CA Primary
General Practice Registered Nurse 163WG0000X 662824 CA
Health & Wellness Coach 171400000X

Addresses

Primary practice location

4651 Holt Blvd Ste H
Montclair, CA 91763-4730

Mailing address

4651 Holt Blvd Ste H
Montclair, CA 91763-4730
Phone (908) 681-2106

Other practice location 1

9513 Business Center Dr Ste 8G
Rancho Cucamonga, CA 91730-4500
Phone (908) 681-2106

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
662824CAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Holisticare LLC Registered Nurse Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1770281396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 HOLT BLVD STE H",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634730",
            "telephone_number": "908-681-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 HOLT BLVD STE H",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634730",
            "telephone_number": "909-681-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9513 Business Center Dr Ste 8G",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304500",
            "country_code": "US",
            "telephone_number": "908-681-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINLEY",
        "first_name": "DEATRA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-10-06",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "662824",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "662824",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "662824",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.