Active NPI
Adrienne Plasse, RN CNM
- Advanced Practice Midwife
- San Rafael, CA
National Provider Identifier
1992809115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 376
- Practice address
- 3260 Kerner Blvd
San Rafael, CA 94901-4861 - Phone
- (415) 507-4030
- Fax
- (415) 507-2634
- NPI assigned
- Sep 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 355376 | CA | |
| Advanced Practice Midwife | 367A00000X | 376 | CA | Primary |
Addresses
Primary practice location
3260 Kerner Blvd
San Rafael, CA 94901-4861
Mailing address
3260 Kerner Blvd
San Rafael, CA 94901-4861
Phone (415) 507-4030
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
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355376 | CA | MD | Ambulatory Women's Health Care Registered Nurse |
| 376 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227744000000",
"number": "1992809115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 KERNER BLVD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014861",
"telephone_number": "415-507-4030",
"fax_number": "415-507-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 KERNER BLVD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014861",
"telephone_number": "415-507-4030",
"fax_number": "415-507-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASSE",
"first_name": "ADRIENNE",
"credential": "RN CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2008-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "355376",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
- Planned Parenthood Golden Gate-San Rafael Lab
- Planned Parenthood Shasta Diablo Inc
- Planned Parenthood Shasta Diablo Inc
- Planned Parenthood: Shasta-Diablo, Inc.
- Peter None Planteen
- Carol Plecas, M.F.T.I.
- Lisa Michelle Plopa, M.A.
- Ryan Plumb, MS, AMFT, APCC
- Lisa Marie Polacci, LCSW
- Sarah J Polfliet, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.