Individual provider Active NPI

Nellie Verzosa Go, F.N.P.

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1922167857
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP10795 Issued in CA
Practice address
1053 R St
Fresno, CA 93721-1312
Phone
(559) 233-3131
Fax
(559) 233-3133
NPI assigned
Dec 6, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP10795 CA Primary

Addresses

Primary practice location

1053 R St
Fresno, CA 93721-1312

Mailing address

1053 R St
Fresno, CA 93721-1312
Phone (559) 233-3131

Other identifiers 1

IdentifierTypeStateIssuer
NP10795OtherCAN.P LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140422000016 CA Order and Referring Only - Nurse Practitioner 7416974779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10795CAMDSpeech-Language Pathologist
NP10795CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tran-Go Medical Corporation Current Accepting new patients

Locations

1053 R St
Fresno, CA 93721
Phone (559) 233-3131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1922167857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211312",
            "telephone_number": "559-233-3131",
            "fax_number": "559-233-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 R ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211312",
            "telephone_number": "559-233-3131",
            "fax_number": "559-233-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "NELLIE",
        "middle_name": "VERZOSA",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP10795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.P LICENSE",
            "identifier": "NP10795",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.