Active NPI
Medamerica
- Family Nurse Practitioner
- Fresno, CA
National Provider Identifier
1861696023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9936
- Legal business name
- MEDAMERICA
- Practice address
- 2174 N Antioch Ave
Fresno, CA 93722-7310 - Phone
- (559) 277-9892
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Constance Annemarie Harris, FNP
- Title
- FNP
- Phone
- (559) 277-9892
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9936 | CA | Primary |
Addresses
Primary practice location
2174 N Antioch Ave
Fresno, CA 93722-7310
Mailing address
5512 W Oak Ave
Fresno, CA 93722
Phone (559) 917-8043
Other names 1
- california emergency physicians
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1598736498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1861696023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 W OAK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93722",
"telephone_number": "559-917-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2174 N ANTIOCH AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937227310",
"telephone_number": "559-277-9892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDAMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-12",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_middle_name": "ANNEMARIE",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "559-277-9892",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "9936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "california emergency physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.