COLLEEN SHEEHAN (NPI# 1073805180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073805180 |
| Entity Type | Individual |
| Full Name | COLLEEN SHEEHAN |
| Credential | NP |
| Practice Address |
3401 Centre Lake Dr Ste 512 Ontario CA 91761-1201 |
| Mailing Address |
391 N San Jacinto St Hemet CA 92543-3118 |
| Practice Telephone | 9095660445 |
| Mailing Telephone | 9519296003 |
| Mailing Fax Number | 9519291984 |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95000583 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F305624 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 391 N San Jacinto St, Hemet, CA 925433118 | 9519296003 | 9519291984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891065264 | Colleen Sheehan | Counselor | 100a Haverhill St, Methuen, MA 01844-4251 | 2012-01-03 |
| 1831330083 | Colleen Sheehan | Psychologist | 1409 Willow St, Suite 600, Minneapolis, MN 55403-2269 | 2009-03-18 |
| Street Address |
3401 CENTRE LAKE DR STE 512 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699735191 | David Masao Hirota | Internal Medicine | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2006-03-27 |
| 1851876254 | Cherie Lyn Shoaf Soto | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2018-10-01 |
| 1932614203 | Ana Y. Lemus | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2017-12-08 |
| 1568977130 | Andrea Lynn Dunkel | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2017-12-05 |
| 1205282233 | Francesca Yarnall | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2016-05-09 |
| 1043688161 | Jenine Titus | Clinic/Center | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2015-09-04 |
| 1932583150 | Jazmyne Arteese Bosley | Registered Nurse | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2015-07-17 |
| 1497159818 | Kevin Bell | Physician Assistant | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-10-14 |
| 1396146882 | Ashley Diane Mccabe | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-09-16 |
| 1295152130 | Melissa Manion | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588741177 | Lori Kay Mullins | Nurse Practitioner | 2131 Park Ave W Ste 200, Ontario, OH 44906-1226 | 2006-11-01 |
| 1922523471 | Jillian L Teeter | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2017-08-06 |
| 1992257794 | Chad Miley | Nurse Practitioner | 715 Richland Mall, Ontario, OH 44906-3802 | 2016-10-27 |
| 1952325458 | Donna Messersmith | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 1600, Ontario, OR 97914 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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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.