Agnes R Felicano, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP13077 Issued in CA

Practice address

180 Sierra College Dr
Grass Valley, CA 95945-5768

Phone

(530) 460-2592

NPI assigned

Aug 3, 2010

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1932413796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SIERRA COLLEGE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455768",
            "telephone_number": "530-460-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SIERRA COLLEGE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455768",
            "telephone_number": "530-460-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICANO",
        "first_name": "AGNES",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP13077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP13077",
            "identifier": "NP13077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Anne Farley
• Martin Farmer
• Jessika Fattal
• Faye Jensen M.D., Inc.
• Lisa L Federico, AMFT, APCC
• Linda Felix
• Richard Shane Fenton
• Katelyn Marie Fernandez, PA-C, RD
• Tyler Dalton Fernandez I, LVN
• William J Fernandez, D. C.

• Family Nurse Practitioner in Grass Valley, CA
• Providers in Grass Valley, 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 Nov 4, 2024; 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.