SHAUNA RENEE KING HOLLIS (NPI# 1538300074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538300074 |
| Entity Type | Individual |
| Full Name | SHAUNA RENEE KING HOLLIS |
| Credential | PMHNP |
| Practice Address |
801 Portola Dr Ste 108 San Francisco CA 94127-1234 |
| Mailing Address |
2001 42nd Ave San Francisco CA 94116-1024 |
| Practice Telephone | 6195327894 |
| Mailing Telephone | 6195327894 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
520754 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
520754 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 PORTOLA DR STE 108 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296588 | Kim Do | Marriage & Family Therapist | 801 Portola Dr Ste 108, San Francisco, CA 94127-1234 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| 1760029847 | Manpreet Kaur Pannu | Nurse Practitioner | 900 Hyde St Ste 413, San Francisco, CA 94109-4806 | 2019-12-07 |
| 1134761711 | Christianne Burns | Nurse Practitioner | 507 Polk St Ste 410, San Francisco, CA 94102-3396 | 2019-10-15 |
| 1366953259 | Marjan Bazzazi | Nurse Practitioner | 505 Parnasus Avenue, San Francisco, CA 94143 | 2017-10-18 |
| 1841617347 | Kristen Akemi Sada | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-0602 | 2014-03-21 |
| 1578849980 | Charles Primich | Nurse Practitioner | 8 Bernice St, Unit 206, San Francisco, CA 94103-4348 | 2011-10-30 |
| 1659599983 | Karen Triandafyllis | Nurse Practitioner | 995 Potrero Ave, Ward 93, San Francisco General Hospital, Otop, San Francisco, CA 94110 | 2007-04-23 |
| 1538248927 | Rosalind Mc Niesh Delisser | Nurse Practitioner | 2 Koret Way Rm N505g, Box 0608, San Francisco, CA 94143-0608 | 2006-11-04 |
| 1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
| 1508848714 | Mary Jocelyn Porquez | Nurse Practitioner | 760 Harrison St, San Francisco, CA 94107-1235 | 2005-11-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
Please comment or provide details below to improve the information on SHAUNA RENEE KING HOLLIS.
| 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.