Mirta M Cuevas, RN, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

467948 Issued in CA

Practice address

899 Northgate Dr Ste 100
San Rafael, CA 94903-3664

Phone

(415) 473-2623

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Marin County Health and Human Services

  dba Marin County Immunization Clinic

  • Public Health or Welfare Agency
  • San Rafael, CA
  • NPI 1366688434
  NPD (past)

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1902045701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033664",
            "telephone_number": "415-473-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033664",
            "telephone_number": "415-473-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "MIRTA",
        "middle_name": "M",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "467948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredee Crutcher, PHARM.D.
• Vanessa Cruz Salvador
• Evelyn Cruz
• Ronnie David Cruz, CADTP SUDRC 15010
• Francis John Cubillo, LAC
• Eliza Cummings
• Michelle Cunningham, PHARMD
• Susan Jean Cunningham, O.D.
• Mary Jeannine Curley, MFTI
• Michael Martin Curtin, D.C.

• Community Health Registered Nurse in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.