Individual provider Active NPI

Pamela Brandy Rico, FNP-C

  • Family Nurse Practitioner
  • Oakhurst, CA
National Provider Identifier
1881683928
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14745 Issued in CA
Practice address
49063 Road 426
Oakhurst, CA 93644-9487
Phone
(559) 642-1500
Fax
(559) 642-1506
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14745 CA Primary

Addresses

Primary practice location

49063 Road 426
Oakhurst, CA 93644-9487

Mailing address

49063 Road 426
Suite C
Oakhurst, CA 93644-9487
Phone (559) 642-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202002125 CA Order and Referring Only - Nurse Practitioner 4183639487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Consultants, Inc. a Medical Group Past Accepting new patients
Smith Psychiatry LLC Past Accepting new patients
Reedley Community Hospital Past Accepting new patients

Organizations & group practices 3

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1881683928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49063 ROAD 426",
            "address_2": "SUITE C",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449487",
            "telephone_number": "559-642-1500",
            "fax_number": "559-642-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49063 ROAD 426",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449487",
            "telephone_number": "559-642-1500",
            "fax_number": "559-642-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICO",
        "first_name": "PAMELA",
        "middle_name": "BRANDY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.