IndividualActive
Nina Deatherage, R.N., B.S.N., P.H.N
NPI 1548381874 · Community Health/Public Health Clinical Nurse Specialist · Placerville, CA
Provider details
- NPI number
- 1548381874
- Entity type
- Individual
- Primary specialty
- Community Health/Public Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- R.N., B.S.N., P.H.N
- Sex
- Female
- Sole proprietor
- No
- License
- 320537 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
931 Spring St
Placerville, CA 95667-4543
Phone: (530) 621-6320
Fax: (530) 295-2589
Street-level locationGet directions
Mailing address
931 Spring St
Placerville, CA 95667-4543
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2010-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.