NICOLE PUANANI INES CPNP-PC
NPI 1306365366
Nurse Practitioner - Pediatrics in San Jose, CA

Q: What is Nicole Ines's NPI number?

The NPI number for Nicole Ines is 1306365366. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Q: What is Nicole Ines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Ines was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2017

6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119(408) 284-2280 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Sep 11, 2017 (2 updates tracked since 2017).

On this page

About Nicole Puanani Ines Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE PUANANI INES CPNP-PC (NPI 1306365366) is an individual pediatrics provider in San Jose, California, licensed in California (95007108) and active in the NPI registry since September 2017. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1306365366

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICOLE PUANANI INESCredential: CPNP-PC

Location Address6840 VIA DEL ORO STE 210San Jose, CA 95119-1372

Mailing Address214 Myrtle Rd Apt BBurlingame, CA 94010-3082 · (808) 250-7059

Phone(408) 284-2280

Sole ProprietorNo

Enumeration DateSeptember 11, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1306365366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95007108

6840 VIA DEL ORO STE 210, San Jose, CA 95119

Open in Google Maps ↗

Secondary Practice Locations 4

Location 17861 Murray AveGilroy, CA 95020-4604 · Phone (408) 842-1017

Location 2645 Wool Creek DrSan Jose, CA 95112-2617 · Phone (408) 283-6051

Location 31835 Cunningham AveSan Jose, CA 95122-1712 · Phone (408) 347-5988

Location 41149 E Julian St Bldg HSan Jose, CA 95116-1005 · Phone (408) 535-6001

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LAWRENCE

Social Worker (Clinical)