SHELLEY HOM (NPI# 1285791962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285791962 |
Entity Type | Individual |
Full Name | SHELLEY HOM |
Credential | RN, NP, CS |
Practice Address |
3905 Mission St San Francisco CA 94112-1014 |
Mailing Address |
1791 17th Ave San Francisco CA 94122-4501 |
Practice Telephone | 4153372400 |
Practice Fax Number | 4153372415 |
Mailing Telephone | 4156648807 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11079 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3905 MISSION ST |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94112-1014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639272008 | City & County of San Francisco | Clinic/Center | 3905 Mission St, San Francisco, CA 94112-1014 | 2006-09-07 |
1881258440 | Jorge M Mestayer | Community Health Worker | 3905 Mission St, San Francisco, CA 94112-1014 | 2019-04-29 |
1821593088 | Loni Cortes | Community Health Worker | 3905 Mission St, San Francisco, CA 94112 | 2018-03-28 |
1659778991 | Derrick Maurice Ward | Specialist | 3905 Mission St, San Francisco, CA 94112-1014 | 2014-12-02 |
1992104335 | Alfred Fernandez | Counselor | 3905 Mission St, San Francisco, CA 94112-1014 | 2014-08-21 |
1063833804 | Luis Hernandez | Counselor | 3905 Mission St, San Francisco, CA 94112-1014 | 2013-12-20 |
1396938718 | Francisca Victoria Oropeza | Marriage & Family Therapist | 3905 Mission St, San Francisco, CA 94112-1014 | 2007-08-20 |
1619179926 | Dorys Balcazar | Counselor | 3905 Mission St, San Francisco, CA 94112-1014 | 2007-05-31 |
1669598553 | Bruce A Folsom | Social Worker | 3905 Mission St, San Francisco, CA 94112-1014 | 2007-03-22 |
1508965229 | Cristina Olivia Breiner | Psychiatry & Neurology | 3905 Mission St, San Francisco, CA 94112-1014 | 2006-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
Find all providers in zip 94112 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
1760029847 | Manpreet Kaur Pannu | Nurse Practitioner | 900 Hyde St Ste 413, San Francisco, CA 94109-4806 | 2019-12-07 |
1134761711 | Christianne Burns | Nurse Practitioner | 507 Polk St Ste 410, San Francisco, CA 94102-3396 | 2019-10-15 |
1366953259 | Marjan Bazzazi | Nurse Practitioner | 505 Parnasus Avenue, San Francisco, CA 94143 | 2017-10-18 |
1841617347 | Kristen Akemi Sada | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-0602 | 2014-03-21 |
1578849980 | Charles Primich | Nurse Practitioner | 8 Bernice St, Unit 206, San Francisco, CA 94103-4348 | 2011-10-30 |
1659599983 | Karen Triandafyllis | Nurse Practitioner | 995 Potrero Ave, Ward 93, San Francisco General Hospital, Otop, San Francisco, CA 94110 | 2007-04-23 |
1538248927 | Rosalind Mc Niesh Delisser | Nurse Practitioner | 2 Koret Way Rm N505g, Box 0608, San Francisco, CA 94143-0608 | 2006-11-04 |
1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
1508848714 | Mary Jocelyn Porquez | Nurse Practitioner | 760 Harrison St, San Francisco, CA 94107-1235 | 2005-11-15 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94112 |
Please comment or provide details below to improve the information on SHELLEY HOM.
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.