Individual provider Active NPI

Michelle Rovena Tinkham, RNFA

  • Registered Nurse First Assistant
  • Riverside, CA
National Provider Identifier
1790975654
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
559981 Issued in CA
Practice address
5925 Sycamore Canyon Blvd
#152
Riverside, CA 92507-8451
Phone
(661) 805-5929
Fax
(951) 848-0623
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 559981 CA Primary

Addresses

Primary practice location

5925 Sycamore Canyon Blvd
#152
Riverside, CA 92507-8451

Mailing address

5925 Sycamore Canyon Blvd
#152
Riverside, CA 92507-8451
Phone (661) 805-5929

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
559981CAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1790975654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 SYCAMORE CANYON BLVD",
            "address_2": "#152",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078451",
            "telephone_number": "661-805-5929",
            "fax_number": "951-848-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 SYCAMORE CANYON BLVD",
            "address_2": "#152",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078451",
            "telephone_number": "661-805-5929",
            "fax_number": "951-848-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKHAM",
        "first_name": "MICHELLE",
        "middle_name": "ROVENA",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "559981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.