MRS. SHELLEY MERCADAL (NPI# 1255441150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255441150 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY MERCADAL |
| Other Name | SHELLEY D. RAYNE-WILLARD |
| Credential | RNP |
| Practice Address |
625 Hilby Ave Seaside CA 93955-5720 |
| Mailing Address |
1691 The Alameda San Jose CA 95126-2203 |
| Practice Telephone | 8313941691 |
| Practice Fax Number | 8313941870 |
| Mailing Telephone | 4082877532 |
| Mailing Fax Number | 4082870405 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP 3094 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 HILBY AVE |
| City | SEASIDE |
| State | CA |
| Zip Code | 93955-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841260452 | Christine Boulanger | Obstetrics & Gynecology | 625 Hilby Ave, Seaside, CA 93955-5720 | 2006-01-25 |
| 1619593936 | Meredith Foster | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955-5720 | 2020-06-23 |
| 1265999429 | Jacqueline Cokley | Nurse Practitioner | 625 Hilby Ave, Seaside, CA 93955-5720 | 2019-02-25 |
| 1700354438 | Rei Lin Klingman | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955-5720 | 2018-11-12 |
| 1144749649 | Nina Moneymaker | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955 | 2017-09-15 |
| 1831627181 | La'rhonda Mashalle Waldrup | Nurse Practitioner | 625 Hilby Ave, Seaside, CA 93955-5720 | 2017-05-31 |
| 1346783651 | Kristina Marie Roberts | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955-5720 | 2016-11-18 |
| 1629440334 | Elyse A. Cohen | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955-5720 | 2015-10-21 |
| 1730587056 | Mary Carol Higgins | Registered Nurse | 625 Hilby Ave, Seaside, CA 93955-5720 | 2014-12-18 |
| 1053757211 | Jamie Reeder | Nurse Practitioner | 625 Hilby Ave, Seaside, CA 93955-5720 | 2013-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472614 | Benbenedic Montoya Aquino | Registered Nurse | 2095, 2095 Paralta Avenue, Seaside, CA 93955 | 2018-10-09 |
| 1316435803 | Teddy Yaw Akosa Agyapong | Pharmacist | 1055 Fremont Bld, Seaside, CA 93955 | 2018-04-30 |
| 1700381423 | Edmundo Fimbres Od Inc | Optometrist | 915 Hilby Ave Ste 1, Seaside, CA 93955 | 2018-03-26 |
| 1275948671 | Brian Peter Farley | Marriage & Family Therapist | 1187 Broadway Ave, Seaside, CA 93955 | 2014-06-24 |
| 1689953044 | Vertis Nathaniel Elmore IIi | Marriage & Family Therapist | 1069 Broadway Ave., Suite 201, Seaside, CA 93955 | 2011-08-16 |
| 1598944993 | Mary Theresa Panlilio | Dentist | 1249 Fremont Blvd, Suite B, Seaside, CA 93955 | 2007-11-01 |
| 1346459641 | Caroline Thomas Haskell | Social Worker | 100 Campus Center, Bldg 80, Seaside, CA 93955 | 2007-05-22 |
| 1811014715 | Anita Gor | Optometrist | 2040 California Ave. Target, Target Optical, Sand City, CA 93955 | 2007-03-23 |
| 1942333059 | Central Coast Pediatric Dental Group | Dentist | 1717 Fremont Blvd, Seaside, CA 93955 | 2007-03-14 |
| 1831209436 | Costco Wholesale Corporation | Pharmacy | 801 Tioga Ave, Sand City, CA 93955 | 2006-08-30 |
| Find all providers in zip 93955 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.