SHELLI MERRILL (NPI# 1548718927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548718927 |
| Entity Type | Individual |
| Full Name | SHELLI MERRILL |
| Practice Address |
365 Casa Manana Rd Bldg G Santa Rosa CA 95409-6559 |
| Practice Telephone | 7075658681 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
365 CASA MANANA RD BLDG G |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-6559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758931 | Allison Noesekabel | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Rm 1201, Santa Rosa, CA 95403-2149 | 2020-04-03 |
| 1467083733 | Jessica Hetherington | Student in an Organized Health Care Education/Training Program | 2255 Challenger Way Ste 107, Santa Rosa, CA 95407-5423 | 2020-01-27 |
| 1184282121 | Isabella Maile Beal | Student in an Organized Health Care Education/Training Program | 2275 Warwick Dr, Santa Rosa, CA 95405-8677 | 2019-06-04 |
| 1366904963 | Nathaniel Parker | Student in an Organized Health Care Education/Training Program | 1002 Jennings Ave Apt 207, Santa Rosa, CA 95401-4347 | 2019-04-02 |
| 1265991509 | Ishika Arora | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way # 110, Santa Rosa, CA 95403-2149 | 2019-03-17 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1881198745 | Elia R. Cole | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403-2149 | 2018-03-23 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1073049623 | Shyam Sunder Indrakanti | Student in an Organized Health Care Education/Training Program | 2824 Elk Ln, Santa Rosa, CA 95407-5029 | 2017-05-02 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on SHELLI MERRILL.
| 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.