SUSAN B. SHEA (NPI# 1881708881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881708881 |
| Entity Type | Individual |
| Full Name | SUSAN B. SHEA |
| Credential | FNP |
| Practice Address |
1450 Medical Center Dr Suite 3 Rohnert Park CA 94928-2924 |
| Practice Telephone | 7075848588 |
| Practice Fax Number | 7075842869 |
| Mailing Telephone | 7075848588 |
| Mailing Fax Number | 7075842869 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9255 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REGISTERED NURSE LICENSE | 302381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073039715 | Susan L Shea | Counselor | 402 Barbara Street, Bloomfield, MO 63825 | 2017-08-15 |
| 1386653004 | Susan I. Shea | Nurse Practitioner | 400 Parnassus Ave # 429, San Francisco, CA 94143-2202 | 2006-08-05 |
| 1356791610 | Susan Abernathy Shea | Nurse Practitioner | 200 Hawkins Dr, Dept Internal Med, Iowa City, IA 52242-1009 | 2016-06-17 |
| 1558698571 | Susan Okorn Shea | Physical Therapist | 521 Route 111, Suite 107, Hauppauge, NY 11788-4370 | 2009-11-12 |
| Street Address |
1450 MEDICAL CENTER DR SUITE 3 |
| City | ROHNERT PARK |
| State | CA |
| Zip Code | 94928-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477541985 | Laura E. Rodriguez | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2005-10-10 |
| 1548374028 | Candace M. Ray | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-19 |
| 1316051501 | Diana Maria Prince | Family Medicine | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-18 |
| 1376657544 | Patricia L. Rozenoff | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-18 |
| 1174536023 | Mary Elizabeth Frank | Family Medicine | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961789 | Graton Transportation Service LLC | Taxi | 6071 Donna Ct, Rohnert Park, CA 94928 | 2020-10-27 |
| 1720636145 | Nicole Merryman | Dietitian, Registered | 150 Raleys Towne Centre, #3033, Rohnert Park, CA 94928 | 2019-08-28 |
| 1720518368 | Mary Elizabeth Sturgeon | Dentist | Rohnert Park Health Center Dental, 5900 State Farm Dr., 2nd Floor, Rohnert Park, CA 94928 | 2017-06-15 |
| 1932558491 | Carmen Pomares | Acupuncturist | 6040 Commerce Blvd Ste 105, Rohnert Park, CA 94928 | 2016-06-06 |
| 1689049215 | Hochima Denise Treppa | Marriage & Family Therapist | No. 2 Padre Town Center, Suite 100, Rohnert Park, CA 94928 | 2015-12-08 |
| 1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
| 1932570272 | Jessica Wendt | Pharmacy Technician | 512 Ava Ave, Rohnet Pak, CA 94928 | 2015-10-13 |
| 1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
| 1316216476 | Cynthia Morfin | Counselor | 496 Santa Alicia Drive, Rohnert Park, CA 94928 | 2011-12-19 |
| 1255641411 | Anka Behavorial Health, Inc. | Community/Behavioral Health | 1033 San Francisco Way, Rohnert Park, CA 94928 | 2010-10-20 |
| Find all providers in zip 94928 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962617019 | Donna Lamke | Nurse Practitioner | 1370 Medical Center Dr Ste E, Rohnert Park, CA 94928-2934 | 2007-05-11 |
| 1205982071 | Sandra Lynn Jay | Nurse Practitioner | 1450 Medical Center Drive, Suite 3, Rohnert Park, CA 94928 | 2007-01-26 |
| 1477541985 | Laura E. Rodriguez | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2005-10-10 |
| 1386013274 | Megan H Rehder | Nurse Practitioner | 5900 State Farm Dr Fl 2, Rohnert Park, CA 94928 | 2015-09-21 |
| 1467865550 | Jennifer Sarah Buescher | Nurse Practitioner | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2014-06-05 |
| 1689880254 | Jan Marie Reddick | Nurse Practitioner | 1801 E Cotati Ave, Rohnert Park, CA 94928-3613 | 2007-05-14 |
| 1134334675 | Cynthia Sue Renfrew | Nurse Practitioner | 1801 E Cotati Ave, Sonoma State University Student Health Center, Rohnert Park, CA 94928-3613 | 2007-05-10 |
| 1548374028 | Candace M. Ray | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-19 |
| 1376657544 | Patricia L. Rozenoff | Nurse Practitioner | 1450 Medical Center Dr, Suite 3, Rohnert Park, CA 94928-2924 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | ROHNERT PARK |
| Zip Code | 94928 |
Please comment or provide details below to improve the information on SUSAN B. SHEA.
| 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.