Blue Note Telehealth

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BLUE NOTE TELEHEALTH

Practice address

11951 Pradera Rd
Santa Rosa Valley, CA 93012-9384

Phone

(805) 728-5544

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Sun, MD

Title

President and Ceo

Phone

(805) 728-5544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1912659400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 PRADERA RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129384",
            "telephone_number": "805-728-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 PRADERA RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129384",
            "telephone_number": "805-728-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE NOTE TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "805-728-5544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy Redman Borelli, MA, CCC-SLP
• Emma Elizabeth Bowers, AMFT
• Ca Ya Services LLC (Newport Institute-Alhambra)
• Alexander Figueroa Rodriguez, PA-C
• Diane Grabowski-Nepa, RD

• Health Service Clinic/Center in Santa Rosa Valley, CA
• Providers in Santa Rosa Valley, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.