Hadassah Latresse McCormick, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

611638 Issued in CA

Practice address

1515 Valdora St Apt 801
Davis, CA 95618-7800

Phone

(916) 868-4349

NPI assigned

Apr 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1871736405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 COSGROVE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225214",
            "telephone_number": "916-393-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VALDORA ST APT 801",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187800",
            "telephone_number": "916-868-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "HADASSAH",
        "middle_name": "LATRESSE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "611638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isha Kaur Mayall, M.S
• Lynn Marie McAlister, D.O.
• Alexandra McCarthy
• Justine B McCarthy, LCSW
• Tracy H McCarthy, M.D.
• Jeffery P. McCormick, MSPT
• Annamaria McCoy, MD
• Stephen A. McCurdy, MD
• Jill McElroy
• Christine McGiffert

• Registered Nurse in Davis, CA
• Providers in Davis, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.