NICOLE DIANE SHY (NPI# 1376167387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376167387 |
| Entity Type | Individual |
| Full Name | NICOLE DIANE SHY |
| Credential | RN, RDH |
| Practice Address |
6991 Balboa Ave San Diego CA 92111-3447 |
| Practice Telephone | 8584968232 |
| Practice Fax Number | 8584968234 |
| Mailing Telephone | 8584968232 |
| Mailing Fax Number | 8584968234 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
95182706 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255612677 | Nicole Marie Shy | Occupational Therapist | 25023 Bothwell Park Rd, Sedalia, MO 65301-0084 | 2011-08-30 |
| Street Address |
6991 BALBOA AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020938 | Amy Nakatsuchi | Physical Therapist | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2006-05-16 |
| 1194323121 | Ana Wong Pacis | Nurse Practitioner | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-10-12 |
| 1821612748 | Ashley Marie Martin | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-06 |
| 1437773306 | Marie Doherty | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
| 1497379390 | Shiryn Rivo | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-05 |
| 1023632023 | Sandra Clare Hudson | Exclusive Provider Organization | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1073137139 | Sandra Lee Oswald | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1295359412 | Alicia Louise Began | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-03 |
| 1497379812 | Valentine Daniele Aljabi | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-01 |
| 1346864907 | Suzanne Webster-lowrie | Registered Nurse | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1760043855 | Evan Christian Ramirez | Registered Nurse | 5560 Overland Ave Ste 310, San Diego, CA 92123-1204 | 2019-06-28 |
| 1093376782 | Richard Chen | Registered Nurse | 2764 Escala Cir, San Diego, CA 92108-6726 | 2019-06-24 |
| 1962982298 | Marsue A Evans | Registered Nurse | 5931 Gullstrand St, San Diego, CA 92122-3819 | 2018-08-16 |
| 1982123360 | Huyen Dao | Registered Nurse | 5560 Overland Ave Ste 202, San Diego, CA 92123-1204 | 2017-09-17 |
| 1053845404 | Diana Vaughan-jones | Registered Nurse | 3158 Clairemont Dr, San Diego, CA 92117-6411 | 2017-04-12 |
| 1083911226 | Xochitl Artemiza Stockton | Registered Nurse | 4377 39th St, Apt 4, San Diego, CA 92105-1036 | 2011-02-24 |
| 1427171008 | Carol Cristman Nickless | Registered Nurse | 12366 Grandee Ct, San Diego, CA 92128-2120 | 2007-04-09 |
| 1801916226 | Maria Theresa Abe Llamado | Registered Nurse | 2022 Howard Ave, San Diego, CA 92104-1016 | 2007-03-30 |
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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.