Individual provider Active NPI

Nicholo Concordio Legaspi Atup III, RN, MAN

  • School Registered Nurse
  • Santa Rosa, CA
National Provider Identifier
1841120714
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95077013 Issued in CA
Practice address
599 Bellevue Ave
Santa Rosa, CA 95407-7713
Phone
(707) 480-7547
Fax
(707) 890-3814
NPI assigned
May 21, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 95077013 CA Primary

Addresses

Primary practice location

599 Bellevue Ave
Santa Rosa, CA 95407-7713

Mailing address

110 Stony Point Rd Ste 210
Santa Rosa, CA 95401-4118
Phone (707) 890-0073

Other practice location 1

850 W 9th St
Santa Rosa, CA 95401-5349
Phone (707) 480-7547

Other practice location 2

325 Ridgway Ave
Santa Rosa, CA 95401-4334
Phone (707) 480-7547

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95077013CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1841120714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STONY POINT RD STE 210",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014118",
            "telephone_number": "707-890-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 BELLEVUE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077713",
            "telephone_number": "707-480-7547",
            "fax_number": "707-890-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954015349",
            "country_code": "US",
            "telephone_number": "707-480-7547",
            "fax_number": "707-890-3943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Ridgway Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954014334",
            "country_code": "US",
            "telephone_number": "707-480-7547",
            "fax_number": "707-890-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATUP",
        "first_name": "NICHOLO CONCORDIO",
        "middle_name": "LEGASPI",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RN, MAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95077013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.