SHAYE LARIE (NPI# 1013478569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013478569 |
| Entity Type | Individual |
| Full Name | SHAYE LARIE |
| Credential | NP |
| Practice Address |
144 Stony Point Rd Santa Rosa CA 95401-4122 |
| Practice Telephone | 7075214600 |
| Mailing Telephone | 7075214600 |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60704 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95207424 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3277 E Louise Dr, Meridian, ID 836429359 | 2084633000 | 2084633032 |
| 9850 St Lukes Dr, Nampa, ID 836877912 | 2084633000 | 2084633032 |
| Street Address |
144 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965771 | Jennifer L Betts | Family Medicine | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2005-07-12 |
| 1750853206 | Wendy Lippard | Dietitian, Registered | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2018-12-21 |
| 1083102560 | Mark Voorhees Darlington | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2018-04-30 |
| 1952851016 | Chandra Matthews | Dietitian, Registered | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2016-10-12 |
| 1053860221 | Timothy Samuel Tong | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2016-09-28 |
| 1982152518 | Ana Quiroz | Counselor | 144 Stony Point Rd, Santa Rosa, CA 95401 | 2016-09-12 |
| 1710330311 | Suzanne Yeomans | Social Worker | 144 Stony Point Rd, Santa Rosa, CA 95401 | 2016-07-19 |
| 1124408984 | Gloria Felling | Registered Nurse | 144 Stony Point Rd, 144 Stony Point Road, Santa Rosa, CA 95401-4122 | 2015-06-05 |
| 1639558174 | Trenae Hanaya | Registered Nurse | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2015-05-28 |
| 1184043085 | Alyson Filippa | Social Worker | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 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 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160234 | Susan English Knowles | Nurse Practitioner | 3383 Airway Dr, Santa Rosa, CA 95403-2005 | 2018-07-18 |
| 1912498726 | Lydia Ann Smith | Nurse Practitioner | 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 | 2018-05-29 |
| 1659870186 | Shannon Cross Todd | Nurse Practitioner | 4729a Hoen Ave, Santa Rosa, CA 95405-7862 | 2018-02-11 |
| 1093222408 | Mary Esther Andich | Nurse Practitioner | 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 | 2018-01-08 |
| 1316473697 | Renee Novakovich | Nurse Practitioner | 704 Adobe Dr, Santa Rosa, CA 95404-2706 | 2017-05-05 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1437549235 | Jennifer Takagi | Nurse Practitioner | 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295 | 2015-01-31 |
| 1164828828 | Danielle J Daye | Nurse Practitioner | 50 Montgomery Dr, Santa Rosa, CA 95404-6615 | 2014-11-07 |
| 1609208354 | Derrick Pelton | Nurse Practitioner | 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 | 2013-08-05 |
| 1225313869 | Kristine Monson Brown | Nurse Practitioner | 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 | 2011-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on SHAYE LARIE.
| 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.