Active NPI
Anne E Wilkinson-Fliesler, CREDENTIALED SCHOOL
- School Registered Nurse
- Soquel, CA
National Provider Identifier
1871088161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 170056290
- Practice address
- 405 Old San Jose Rd
Soquel, CA 95073-2213 - Phone
- (831) 429-3410
- Fax
- (831) 429-3450
- NPI assigned
- Jun 28, 2018
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 170056290 | CA | Primary |
Addresses
Primary practice location
405 Old San Jose Rd
Soquel, CA 95073-2213
Mailing address
408 Harbor Dr
Santa Cruz, CA 95062-2614
Phone (831) 566-0041
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170056290 | Other | CA | CTC |
| 30799 | Other | CA | CA BRN |
| 321813 | Other | CA | CA BRN |
Other names 1
- Anne E Fliesler
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170056290 | CA | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz City Schools | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Santa Cruz, CA
- NPI 1689730400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1871088161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HARBOR DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622614",
"telephone_number": "831-566-0041",
"fax_number": "831-429-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 OLD SAN JOSE RD",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732213",
"telephone_number": "831-429-3410",
"fax_number": "831-429-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON-FLIESLER",
"first_name": "ANNE",
"middle_name": "E",
"credential": "CREDENTIALED SCHOOL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "170056290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTC",
"identifier": "170056290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BRN",
"identifier": "30799",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BRN",
"identifier": "321813",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "FLIESLER",
"middle_name": "E",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.