Individual provider Active NPI

Hegla Yakeline Fielding, NURSE PRACTITIONER

  • Registered Nurse
  • South San Francisco, CA
National Provider Identifier
1801414669
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
610561 Issued in CA
Practice address
170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557
Phone
(415) 722-8059
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SC1501X 610561 CA
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 610561 CA Primary

Addresses

Primary practice location

170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557

Mailing address

170 S Spruce Ave Ste 200
South San Francisco, CA 94080-4557
Phone (415) 722-8059

Other practice location 1

Felton Institute
1500 Franklin St
San Francisco, CA 94109
Phone (416) 474-7310 ext. 440

Other identifiers 2

IdentifierTypeStateIssuer
610561OtherCAMEDICAL
610561MedicaidCA

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
610561CAMDCommunity Health/Public Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1801414669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S SPRUCE AVE STE 200",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804557",
            "telephone_number": "415-722-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S SPRUCE AVE STE 200",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804557",
            "telephone_number": "415-722-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Felton Institute",
            "address_2": "1500 Franklin St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94109",
            "country_code": "US",
            "telephone_number": "416-474-7310 x440",
            "fax_number": "415-447-9805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDING",
        "first_name": "HEGLA",
        "middle_name": "YAKELINE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "610561",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "610561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "610561",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.