Elaine K Bettiga, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

FNP10968 Issued in CA

Practice address

3304 Renner Dr
Fortuna, CA 95540-7102

Phone

(707) 725-4477

Fax

(707) 725-9209

NPI assigned

Jul 29, 2006

Last updated

Aug 22, 2014By 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

Other identifiers 2

Other names 1

• Elaine K Rice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1902810252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST",
            "address_2": "SUITE 203",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216248",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955407102",
            "telephone_number": "707-725-4477",
            "fax_number": "707-725-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTIGA",
        "first_name": "ELAINE",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "FNP10968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN402554",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "FNP10968",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "RICE",
            "middle_name": "K",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Richard Aragon, D.D.S.
• April Ash
• Gary Hungerford Baker, M D
• Christy Rae Bascochea, RN
• Michael Peter Belluscio, D.D.S.
• Andrew Allen Billings, FNP
• Brandon Eugene Bireley, D.O.
• Diederik-Jan Frederick Bouwmeester, PHARM.D.
• Ashley Megan Bramlett, RN
• Nathan Dario Brinckhaus

• Family Nurse Practitioner in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.