Active NPI
Tigist Wole
- Family Nurse Practitioner
- Folsom, CA
National Provider Identifier
1932953882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03240004
- Practice address
- 2150 E Bidwell St
Folsom, CA 95630-6453 - Phone
- (916) 292-9006
- Fax
- (531) 200-7513
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03240004 | CA | Primary |
Addresses
Primary practice location
2150 E Bidwell St
Folsom, CA 95630-6453
Mailing address
2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 292-9006
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03240004 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1932953882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 E BIDWELL ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306453",
"telephone_number": "916-292-9006",
"fax_number": "531-200-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 E BIDWELL ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956306453",
"telephone_number": "916-292-9006",
"fax_number": "531-200-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLE",
"first_name": "TIGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "F03240004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.