Primary Care Nurses 2000 Family Practice Professional Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NP11850 Issued in CA

Legal business name

PRIMARY CARE NURSES 2000 FAMILY PRACTICE PROFESSIONAL CORPORATION

Practice address

1860 Landmark Dr
Vallejo, CA 94591-3852

Phone

(707) 554-4704

Fax

(707) 552-3288

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edwina Lorraine Hanna-Reese, NPNPI 1912996398

Title

Owner/President

Phone

(707) 554-4704

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwina Lorraine Hanna-Reese, NP, DNP

  • Nurse Practitioner
  • Vallejo, CA
  • NPI 1912996398
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1942488291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 LANDMARK DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913852",
            "telephone_number": "707-554-4704",
            "fax_number": "707-552-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 LANDMARK DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913852",
            "telephone_number": "707-554-4704",
            "fax_number": "707-552-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE NURSES 2000 FAMILY PRACTICE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "HANNA-REESE",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-554-4704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "NP11850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Preciado
• Anjanique D President
• Angeles Gacutan Price, RN, MS, CNS
• Candice A Price, PHD
• James D Prigmore, DDS
• Primecare Home Health Services LLC
• Keshia Prince
• Samantha Pronzato, DPT
• Propercare Transportation LLC
• Brisbain Rigor Pucan, DMD

• Home Health Agency in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.