Individual provider Active NPI

Anne E Wilkinson-Fliesler, CREDENTIALED SCHOOL

  • School Registered Nurse
  • Soquel, CA
National Provider Identifier
1871088161
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
170056290 Issued in CA
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

Updated by the provider on Jun 28, 2018

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 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

IdentifierTypeStateIssuer
170056290OtherCACTC
30799OtherCACA BRN
321813OtherCACA BRN

Other names 1

  • Anne E Fliesler Professional name

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

LicenseStateTypeSpecialty
170056290CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.