Emillie Rose Feenan

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

95059168 Issued in CA

Practice address

922 Bevins CT
Lakeport, CA 95453-9754

Phone

(707) 263-1090

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Lake Public Health Department

  • Public Health or Welfare Agency
  • Clearlake, CA
  • NPI 1396807459
  NPD (past)
• Lake County Health Services Department

  • Public Health or Welfare Agency
  • Lakeport, CA
  • NPI 1104859347
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1821474719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 BEVINS CT",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 BEVINS CT",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954539754",
            "telephone_number": "707-263-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENAN",
        "first_name": "EMILLIE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95059168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Fagundo
• Farallon Inpatient Medical Group Inc
• Lynn Farmer, MFTI
• Merrill Featherstone, MFC
• Edward M. Fedun, MD
• Jolinda Ferrell, APNP
• Shelly Lynn Flanigan, COTA/L
• Jayla Flaum, PA-C
• Melissa Flores, PSYD
• Mary Lou Floyd

• Case Management Registered Nurse in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.