Michelle Patino, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

586603 Issued in CA

Practice address

615B 2ND St
Petaluma, CA 94952-5123

Phone

(408) 390-7194

NPI assigned

Aug 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1992315451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 VALLEJO ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523246",
            "telephone_number": "408-390-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615B 2ND ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525123",
            "telephone_number": "408-390-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "586603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Petaluma",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615B 2nd St",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949525123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Camelle Paskewic
• Matthew Pasqualetti
• Elizabeth Anne Pastore, PT
• Manasvi Patel, DDS
• Nital Patel, PHARM D
• Marissa C Patocchi
• Jessica Mariane Patricio Rezende
• Paul F. Campion, M.D.
• Frank Paula Jr.
• Brian Paulick

• Community Health Registered Nurse in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.