HOLLY SHEA (NPI# 1497838825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497838825 |
| Entity Type | Individual |
| Full Name | HOLLY SHEA |
| Credential | PA |
| Practice Address |
3300 Webster St Ste 509 Oakland CA 94609-3149 |
| Practice Telephone | 5104520330 |
| Mailing Telephone | 5104520330 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15397 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3300 WEBSTER ST STE 509 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336173822 | Julia Elizabeth Graves | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2006-07-10 |
| 1063063154 | Quynhly Nguyen | Nurse Practitioner | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2019-09-20 |
| 1750748562 | Jason F Fung, Md, A Medical Corporation | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2016-01-25 |
| 1811354624 | Julia Graves, Md, Inc | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2016-01-25 |
| 1427423268 | Lesley Plotke, Md, Inc | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2015-12-04 |
| 1255752796 | Ani Tajirian, Md | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2013-12-31 |
| 1285983197 | Ingrid Roseborough, Md, PC | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2012-09-06 |
| 1629207493 | Lesley Mcmurry Plotke | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2009-07-14 |
| 1629270897 | Ani L. Tajirian | Dermatology | 3300 Webster St Ste 509, Oakland, CA 94609-3149 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700286937 | Rebecca Craft Hu | Physician Assistant | 400 29th St Ste 501, Oakland, CA 94609-3550 | 2014-08-25 |
| 1093841249 | Melinda D Stoner | Physician Assistant | 311 N Fourth St, Ste 1, Oakland, MD 21550-1371 | 2007-02-24 |
| 1316472392 | Amber Dawn King | Physician Assistant | 311 N 4th St, Oakland, MD 21550-1371 | 2017-04-27 |
| 1033577895 | Aubree Anne Larson | Physician Assistant | 1411 E 31st St, Oakland, CA 94602-1018 | 2016-02-08 |
| 1710322664 | Allyse Wharton | Physician Assistant | 350 30th St, Oakland, CA 94609-3424 | 2013-05-06 |
| 1518203652 | Hoai-huong Viet Tran | Physician Assistant | 3600 Broadway, Oakland, CA 94611-5730 | 2012-12-18 |
| 1518215375 | Rocio Veronica Carbona | Physician Assistant | 9 Pleasant St, Oakland, ME 04963-5074 | 2012-08-27 |
| 1801141700 | Susanne Tennant Valenti | Physician Assistant | 747 52nd St, Oakland, CA 94609-1809 | 2012-07-17 |
| 1679848550 | Angela Gomez | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-03-12 |
| 1528344876 | Melissa Kay Hutton | Physician Assistant | 80 Grand Ave Ste 500, Oakland, CA 94612-3756 | 2011-11-01 |
| Find all providers in OAKLAND | ||||
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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.