Individual provider Active NPI

Elizabeth Ann Raines Azwell, FNP

  • Family Nurse Practitioner
  • Patterson, CA
National Provider Identifier
1922424217
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000134 Issued in CA
Practice address
55 N Salado Ave
Patterson, CA 95363-2522
Phone
(209) 895-7999
Fax
(209) 892-0691
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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 95000134 CA Primary

Addresses

Primary practice location

55 N Salado Ave
Patterson, CA 95363-2522

Mailing address

55 N Salado Ave
Patterson, CA 95363-2522
Phone (209) 895-7999

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000134CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: elizabeth.rainesazwell.p1@direct.apdss.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1922424217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N SALADO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632522",
            "telephone_number": "209-895-7999",
            "fax_number": "209-892-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N SALADO AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632522",
            "telephone_number": "209-895-7999",
            "fax_number": "209-892-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES AZWELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.