Active NPI
Tenney Thomas, RN,PHN
- Registered Nurse
- Oceanside, CA
National Provider Identifier
1780717553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 556787
- Practice address
- 321 Cassidy St
Oceanside, CA 92054-5314 - Phone
- (760) 721-2171
- NPI assigned
- Mar 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 166473 | CO | |
| Registered Nurse | 163W00000X | RN0166473 | CO | |
| Registered Nurse | 163W00000X | 556787 | CA | Primary |
Addresses
Primary practice location
321 Cassidy St
Oceanside, CA 92054-5314
Mailing address
321 Cassidy St
Oceanside, CA 92054-5314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64978524 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 556787 | CA | MD | Registered Nurse |
| RN0166473 | CO | MD | Registered Nurse |
| 166473 | CO | MD | Maternal Newborn Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Oceanside, CA
- NPI 1174746838
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1780717553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 CASSIDY ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 CASSIDY ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545314",
"telephone_number": "760-721-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TENNEY",
"credential": "RN,PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CO",
"license": "166473",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN0166473",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "556787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64978524",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.