Active NPI
Nancy Ann McDonald, C.P.N.P.
- Pediatrics Physician
- Capitola, CA
National Provider Identifier
1902015548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 332445
- Practice address
- 4145 Clares St Ste a
Capitola, CA 95010-2053 - Phone
- (831) 476-1933
- Fax
- (831) 475-7417
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 332445 | CA | Primary |
Addresses
Primary practice location
4145 Clares St Ste a
Capitola, CA 95010-2053
Mailing address
4145 Clares St Ste a
Capitola, CA 95010-2053
Phone (831) 476-1933
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11627 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902015548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 CLARES ST STE A",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102053",
"telephone_number": "831-476-1933",
"fax_number": "831-475-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 CLARES ST STE A",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102053",
"telephone_number": "831-476-1933",
"fax_number": "831-475-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "NANCY",
"middle_name": "ANN",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "332445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.