Individual provider Active NPI

Eleonora Tricolici, FNP-BC

  • Nurse Practitioner
  • Roseville, CA
National Provider Identifier
1831781772
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95016089 Issued in CA
Practice address
151 N Sunrise Ave Ste 1205
Roseville, CA 95661-2932
Phone
(916) 789-1505
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95016089 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave Ste 1205
Roseville, CA 95661-2932

Mailing address

4337 Marshall Rd
Kettering, OH 45429-5141
Phone (817) 637-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95016089CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: etricolici575227@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1831781772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 MARSHALL RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295141",
            "telephone_number": "817-637-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612932",
            "telephone_number": "916-789-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICOLICI",
        "first_name": "ELEONORA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95016089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.