Organization Active NPI

Medamerica

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1861696023
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9936 Issued in CA
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

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Ms. Constance Annemarie Harris, FNPNPI 1598736498
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.