MS. MARA IACONI ANP-C
NPI 1528333481
Nurse Practitioner in Santa Rosa, CA

NPI Status: Active since March 12, 2012

Contact Information

3841 BRICKWAY BLVD
SANTA ROSA VA
SANTA ROSA, CA
ZIP 95403
Phone: (415) 314-6442

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  • Individual
  • Female
  • Nurse Practitioner

About MARA IACONI

This page provides the complete NPI Profile along with additional information for Mara Iaconi, a provider established in Santa Rosa, California with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1528333481 assigned on March 2012. The practitioner's primary taxonomy code is 363L00000X with license number 21667 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1528333481
Provider Name
MS. MARA IACONI ANP-C
Gender
Female
Entity Type
Individual
Location Address
3841 BRICKWAY BLVD SANTA ROSA VA SANTA ROSA, CA 95403
Location Phone
(415) 314-6442
Mailing Address
3841 BRICKWAY BLVD SANTA ROSA VA SANTA ROSA, CA 95403
Mailing Phone
(415) 314-6442
Is Sole Proprietor?
Yes
Enumeration Date
03-12-2012
Last Update Date
04-20-2016
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A nurse practitioner (NP) like Mara Iaconi is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
21667
License State
CA
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

807299 (CA)
2363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

21667 (CA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528333481
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548636416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 6 + 3 + 6 + 4 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1528333481 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114901659 JAMES GREENLEE NP
Individual
Nurse Practitioner (Gerontology)3841 BRICKWAY BLVD HBPC, VA SAN FRANCISCO HEALTH CARE SYSTEM
SANTA ROSA, CA 95403
(707) 569-2369
1619083920 HELEN EFFRON N.P.
Individual
Nurse Practitioner (Adult Health)3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2300
1770776577 SABINA HOQUE M.D.
Individual
Internal Medicine3841 BRICKWAY BLVD VETERANS HEALTH SYSTEM
SANTA ROSA, CA 95403
(707) 569-2340
1063738581MS. JO ANN CONANT LCSW
Individual
Social Worker (Clinical)3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2372
1922311406MR. MATTHEW KAWIKA HO PHARMD
Individual
Pharmacist3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2300
1083918973DR. KATHERINE BARNES PHARMD
Individual
Pharmacist3841 BRICKWAY BLVD SANTA ROSA VA PHARMACY
SANTA ROSA, CA 95403
(707) 569-2380
1750674057MRS. SARAH GILBERT
Individual
Occupational Therapist3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2432
1245595735 KATHY L. VINCENT L.C.S.W.
Individual
Social Worker (Clinical)3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2300
1124060207 VICTORIA WRIGHT MSPT
Individual
Physical Therapist3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2300
1386803559DR. WASEEM AHMED MD
Individual
Internal Medicine (Geriatric Medicine)3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2300
1700213311MS. NANCY ELLSWORTH TAYLOR LVN
Individual
Licensed Practical Nurse3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2364
1447674791 NAZNEEN BAHRASSA PH.D.
Individual
Psychologist3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2392
1740699156MS. JAMIE FOX
Individual
Student in an Organized Health Care Education/Training Program3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2451
1861892903 RIZEL FRANCISCO PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2380
1164829610 SAMUEL SERRATO LVN
Individual
Licensed Vocational Nurse3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2364
1790709418 BARNIE Y LIM O.D.
Individual
Optometrist3841 BRICKWAY BLVD SANTA ROSA VA CBOC EYE CLINIC
SANTA ROSA, CA 95403
(707) 569-2300
1669737003DR. ELIZABETH M SHUMAKER PH.D.
Individual
Psychologist (Clinical)3841 BRICKWAY BLVD SANTA ROSA VA-CBOC
SANTA ROSA, CA 95403
(774) 826-3722
1881848935 ELAINE GAIL STANIFER D.P.M.
Individual
Podiatrist3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2300
1821353731 ASHLEY GUY WARD LCSW
Individual
Social Worker (Clinical)3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(707) 569-2520
1457760126DR. LINDSEY BROWN PH.D.
Individual
Psychologist3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
(303) 304-0365

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528333481, enumerated in the NPI registry as an "individual" on March 12, 2012

The provider is located at 3841 Brickway Blvd Santa Rosa Va Santa Rosa, Ca 95403 and the phone number is (415) 314-6442

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on March 12, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.