ATHERINE DANICE SHACKELFORD


Address: 909 Pico Blvd, Santa Monica, CA 90405-1326
Phone: 3103146200

ATHERINE DANICE SHACKELFORD (NPI# 1245732858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245732858
Entity Type Individual
Full Name ATHERINE DANICE SHACKELFORD
Credential LVN,RN
Practice Address 909 Pico Blvd
Santa Monica
CA 90405-1326
Practice Telephone 3103146200
Mailing Telephone 3103146200
Enumeration Date 2018-02-28
Last Update Date 2018-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
95152474 CA Nursing Service Providers

Office Location

Street Address 909 PICO BLVD
City SANTA MONICA
State CA
Zip Code 90405-1326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639299407 Katheryn Leanne Whittaker Counselor 909 Pico Blvd, Santa Monica, CA 90405-1326 2007-03-29
1508472887 Tracy Gage Licensed Vocational Nurse 909 Pico Blvd, Santa Monica, CA 90405-1326 2020-09-22
1366083396 Stephen Richard Ball Counselor 909 Pico Blvd, Santa Monica, CA 90405-1326 2019-10-01
1679127799 Lavert S Porter Counselor 909 Pico Blvd, Santa Monica, CA 90405-1326 2019-07-26
1699237503 Christopher Johnson Counselor 909 Pico Blvd, Santa Monica, CA 90405-1326 2019-04-01
1982174348 Kenneth Noel Licensed Vocational Nurse 909 Pico Blvd, Santa Monica, CA 90405-1326 2018-11-28
1750859534 Paulina Dianne Speaker Counselor 909 Pico Blvd, Santa Monica, CA 90405-1326 2018-11-09
1821565250 Brandon Lejuan Smith Counselor 909 Pico Blvd, Santa Monica, CA 90404 2018-10-24
1295219467 Demetria Mccalla Contractor 909 Pico Blvd, Santa Monica, CA 90405-1326 2018-09-24
1609355155 Luis Jesus Maldonado Counselor 909 Pico Blvd, Santa Monica, CA 90405-1326 2018-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699328476 Nicole Ryan Harbeck Marriage & Family Therapist 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 2019-07-19
1922664440 Betty Ann Wise Counselor 1865 W. 9th Street, Santa Monica, CA 90405 2019-05-10
1790203776 Ernest Jones Jr. Counselor 909 Pico Blvd., Santa Monica, CA 90405 2017-08-30
1285171371 Jori Adler Marriage & Family Therapy Prof. Corp. Marriage & Family Therapist 3400 Airport Ave Ste 30, Santa Monica, CA 90405 2017-01-26
1376993147 Damoan Corp. Speech-Language Pathologist 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 2016-06-13
1427410034 Adam Rubio Clinical Neuropsychologist 1916 4th Street, Santa Monica, CA 90405 2016-03-23
1760852842 Yramnna Smith Behavioral Analyst 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 2015-10-01
1689086076 Cheryl K. Baker Community Health Worker 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 2014-05-20
1629409891 Dominique M. Delvecchio Nurse Practitioner 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 2013-12-12
1639512692 Nancy Elizabeth Hyland Marriage & Family Therapist 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 2013-04-09
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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Competitor

Search similar providers

City SANTA MONICA
Zip Code 90405

Improve Information

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Dataset Information

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.

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