Active NPI
Remy A Paille, R-MSN, NP
- Family Nurse Practitioner
- Santa Cruz, CA
National Provider Identifier
1790202778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007336
- Practice address
- 2018 Mission St
Santa Cruz, CA 95060-5218 - Phone
- (831) 706-2220
- Fax
- (831) 425-2034
- NPI assigned
- Aug 29, 2017
- Last updated
- Mar 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 800419 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95007336 | CA | Primary |
Addresses
Primary practice location
2018 Mission St
Santa Cruz, CA 95060-5218
Mailing address
3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800419 | CA | MD | Registered Nurse |
Interoperability endpoints
- remy.paille.1@19661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1790202778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950605218",
"telephone_number": "831-706-2220",
"fax_number": "831-425-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAILLE",
"first_name": "REMY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "R-MSN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "800419",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.