John D Egolf, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN 515189 Issued in CA

Practice address

3184 Churn Creek Rd
Redding, CA 96002-2122

Phone

(530) 768-2436

Fax

(530) 768-2450

NPI assigned

Jun 25, 2007

Last updated

May 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mount Eddy Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Mount Shasta, CA
  • NPI 1316299787
  Medicare reassignment NPD
• Redding Rancheria

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1104859354
  Medicare reassignment NPD
• Redding Rancheria

  dba Redding Rancheria Trinity Health Center

  • Federally Qualified Health Center (FQHC)
  • Weaverville, CA
  • NPI 1386164580
  NPD
• Redding Rancheria

  dba Redding Rancheria Center for Advanced Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1780423244
  NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1891991923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 SUNRIVER LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010169",
            "telephone_number": "530-244-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022122",
            "telephone_number": "530-768-2436",
            "fax_number": "530-768-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGOLF",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN 515189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN515189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle Desiree Edwards, RN
• Robert Andrew Edwards
• Stephen W Edwards, D.C.
• Meghan Edwardson
• Christopher Allen Eger
• Adaku Eguzouwa
• Nathan Ross Ehmer, D.O.
• Peter John Eichwald, NURSE PRACTITIONER
• Leo Edward Eickhoff III, M.D.
• Mark Bernard Eighan, D.D.S.

• Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.