Individual provider Active NPI

Nancy Fairlie Muggoch, N.P.

  • Nurse Practitioner
  • Larkspur, CA
National Provider Identifier
1982838140
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
399674 Issued in CA
Practice address
17 East Sir Francis Drake Ave
Larkspur, CA 94939-1727
Phone
(415) 927-2273
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 399674 CA Primary

Addresses

Primary practice location

17 East Sir Francis Drake Ave
Larkspur, CA 94939-1727

Mailing address

17 East Sir Francis Drake Ave
Larkspur, CA 94939-1727
Phone (415) 927-2273

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
399674CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1982838140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EAST SIR FRANCIS DRAKE AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391727",
            "telephone_number": "415-927-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST SIR FRANCIS DRAKE AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391727",
            "telephone_number": "415-927-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGGOCH",
        "first_name": "NANCY",
        "middle_name": "FAIRLIE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "399674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.