Individual provider Active NPI

Joan Elizabeth Fanucchi, B.S.N., R.N., P.H.N.

  • Case Management Registered Nurse
  • Woodland, CA
National Provider Identifier
1932245164
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
684984 Issued in CA
Practice address
137 North Cottonwood Street
Suite # 2450
Woodland, CA 95695
Phone
(530) 666-8645
Fax
(530) 666-7447
NPI assigned
Jan 29, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 684984 CA Primary
Community Health Registered Nurse 163WC1500X 684984 CA
Infection Control Registered Nurse 163WI0600X 684984 CA
Maternal Newborn Registered Nurse 163WM0102X 684984 CA

Addresses

Primary practice location

137 North Cottonwood Street
Suite # 2450
Woodland, CA 95695

Mailing address

4601 Blackrock Dr Apt 725
Sacramento, CA 95835-2218
Phone (530) 666-8645

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
684984CAMDMaternal Newborn Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1932245164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BLACKROCK DR APT 725",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352218",
            "telephone_number": "530-666-8645",
            "fax_number": "530-666-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NORTH COTTONWOOD STREET",
            "address_2": "SUITE # 2450",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95695",
            "telephone_number": "530-666-8645",
            "fax_number": "530-666-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANUCCHI",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "B.S.N., R.N., P.H.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "684984",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "684984",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CA",
            "license": "684984",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "684984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.