Adrienne Marie Barraza, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030291 Issued in CA

Practice address

12294 Charlton Rd
Madera, CA 93636-8552

Phone

(559) 871-0300

NPI assigned

Jun 12, 2024

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

Other names 1

• Adrienne Marie Sandoval Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1821830670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12294 CHARLTON RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368552",
            "telephone_number": "559-871-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12294 CHARLTON RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368552",
            "telephone_number": "559-871-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "ADRIENNE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "SANDOVAL",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaime J Barea, M.D.
• Edith Barfield
• Kanchi Nilesh Barfiwala, M.S.
• Kayla Barnes, M.D.
• Jerry Leon Barnett III
• Joel Barrera
• Jessica Barreras
• Mark F Barrett, M.D.
• Isabel Barrientos
• Edith Barrios-Martinez

• Family Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.