ELAINE RENE ICENHOUR - NPI 1689349391 - Nurse Practitioner in El Dorado Hills, CA

Q: What is Elaine Icenhour's NPI number?

The NPI number for Elaine Icenhour is 1689349391. It was assigned to this individual provider in the NPPES registry on August 13, 2021. The provider is also known as Elaine Rene Shady Rn, Np.

Q: What is Elaine Icenhour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Icenhour was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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About Elaine Rene Icenhour NPPES

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

ELAINE RENE ICENHOUR (NPI 1689349391) is an individual nurse practitioner in El Dorado Hills, California, licensed in California (9800) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1689349391

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELAINE RENE ICENHOUR

Location Address5220 ROBERT J MATHEWS PKWYEl Dorado Hills, CA 95762-5705

Mailing Address5220 Robert J Mathews PkwyEl Dorado Hills, CA 95762-5705 · (916) 939-4960

Phone(916) 939-4960

Sole ProprietorNo

Enumeration DateAugust 13, 2021

NPPES CertifiedAugust 13, 2021

✔ NPI 1689349391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 9800

Definition

(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.

5220 ROBERT J MATHEWS PKWY, El Dorado Hills, CA 95762

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Other Names 1

Former Name (1)Elaine Rene Shady Rn, Np

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Icenhour's NPI number?

The NPI number for Elaine Icenhour is 1689349391. It was assigned to this individual provider in the NPPES registry on August 13, 2021. The provider is also known as Elaine Rene Shady Rn, Np.

Where is Elaine Icenhour located?

Elaine Icenhour practices at 5220 Robert J Mathews Pkwy, El Dorado Hills, CA 95762. The listed phone number is (916) 939-4960.

What is Elaine Icenhour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Elaine Icenhour was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.