SHELLEY DIANE (NPI# 1073827739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073827739 |
| Entity Type | Individual |
| Full Name | SHELLEY DIANE |
| Credential | CNS |
| Practice Address |
1 Shemran Ct Fairfax CA 94930-1321 |
| Practice Telephone | 4157210120 |
| Practice Fax Number | 4153531076 |
| Mailing Telephone | 4157210120 |
| Mailing Fax Number | 4153531076 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
468075 | CA | Nursing Service Providers |
| Street Address |
1 SHEMRAN CT |
| City | FAIRFAX |
| State | CA |
| Zip Code | 94930-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649606187 | Jason Neal Linder | Marriage & Family Therapist | 189 Canyon Road, Fairfax, CA 94930 | 2013-09-16 |
| 1760661920 | Joseph Phillip Smith | Chiropractor | 85 Bolinas Rd Ste 2, Fairfax, CA 94930 | 2007-10-24 |
| 1033735436 | Amie Lois Rudolph | Social Worker | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94930 | 2020-06-22 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1629312863 | Silke Greiner | Massage Therapist | 73 Gregory Dr, Fairfax, CA 94930-1025 | 2012-11-10 |
| 1659418473 | Caremeridian, LLC | Skilled Nursing Facility | 2390 Sir Francis Drake Blvd, Fairfax, CA 94930-1127 | 2007-01-31 |
| 1861676561 | Paul Alan Steinman | Pediatrics | 169 Willow Ave, Fairfax, CA 94930-1219 | 2007-12-18 |
| 1043549595 | Gail Danchig | Marriage & Family Therapist | 110 Willow Ave, Fairfax, CA 94930-1220 | 2009-12-11 |
| 1598975773 | Anya Maruscha | Social Worker | 53 Taylor Dr, Fairfax, CA 94930-1261 | 2007-05-23 |
| 1053502112 | Gislene Maria Peral | Occupational Therapist | 336 Olema Rd, Fairfax, CA 94930-1318 | 2007-08-05 |
| Find all providers in zip 94930 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778364 | Cynthia Lynn Rose Escamilla | Registered Nurse | 15960 Janine Dr, Whittier, CA 90603-1524 | 2020-04-02 |
| 1598391658 | Gail Renee Yost | Registered Nurse | 4344 Chelsea Way, Concord, CA 94521-4210 | 2020-03-20 |
| 1356976617 | Isis Tello | Registered Nurse | 10379 Slater Ave Apt 104, Fountain Valley, CA 92708-4798 | 2020-03-06 |
| 1780218792 | Lindy Carolyn Baldeosingh | Registered Nurse | 26630 Barton Rd Apt 921, Redlands, CA 92373-4326 | 2020-02-28 |
| 1235788258 | Eunice Mueni-george Makau | Registered Nurse | 32138 Kale Ln, Winchester, CA 92596-8794 | 2019-09-11 |
| 1821653783 | Adriana Isabel Belay | Registered Nurse | Childrens Heart Center 200 Medical Plaza Suite 301, Los Angeles, CA 90095-0001 | 2019-05-07 |
| 1508339292 | Clair Angelique Blais | Registered Nurse | 22150 Delightful Way, Redding, CA 96003-9196 | 2019-01-06 |
| 1780162057 | Kylie Elizabeth France | Registered Nurse | 4650 W Sunset Blvd # 121, Los Angeles, CA 90027-6062 | 2018-07-30 |
| 1962996355 | Amy Bruere Casey | Registered Nurse | 301 Canham Rd, Scotts Valley, CA 95066-2703 | 2018-06-19 |
| 1730681602 | Nancy W Mwania | Registered Nurse | 42107 Alexandra Dr, Murrieta, CA 92562-3485 | 2018-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.