Active NPI
Sonja Christina Growcott, NP
- Nurse Practitioner
- Fresno, CA
National Provider Identifier
1841548906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22209
- Practice address
- 1105 E Spruce Ave
Suite 203
Fresno, CA 93720-3313 - Phone
- (559) 432-3492
- NPI assigned
- Aug 21, 2012
- Last updated
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22209 | CA | Primary |
Addresses
Primary practice location
1105 E Spruce Ave
Suite 203
Fresno, CA 93720-3313
Mailing address
5025 W Athens Ave
Fresno, CA 93722-2306
Phone (559) 916-6797
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22209 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1841548906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 W ATHENS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937222306",
"telephone_number": "559-916-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 E SPRUCE AVE",
"address_2": "SUITE 203",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203313",
"telephone_number": "559-432-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROWCOTT",
"first_name": "SONJA",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "22209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.