Kacie Salas, RN, NC-BC
Individual provider Active NPI General Practice Registered Nurse · Calpine, CA
NPI 1972226470 · NPPES record last updated Sep 21, 2022
Key facts
- NPI
- 1972226470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 740061 (CA)
- Practice address
- 221 Meadow Ranch Rd
Calpine, CA 96124 - Phone
- (530) 448-4272
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 740061 | CA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 740061 | CA | Yes |
Addresses
Primary practice location
221 Meadow Ranch Rd
Calpine, CA 96124
Mailing address
PO Box 302
Calpine, CA 96124-0302
Phone (530) 448-4272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN74001 | Other | CA | CA STATE |
| 740061 | Other | CA | NURSING LICENSE |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.