MRS. TARA A SHEALY (NPI# 1649309105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649309105 |
| Entity Type | Individual |
| Full Name | MRS. TARA A SHEALY |
| Credential | RN |
| Practice Address |
446 Alta Rd Suite 6100 San Diego CA 92158-0001 |
| Mailing Address |
11272 Corte Playa Madera San Diego CA 92124-4137 |
| Practice Telephone | 6196716533 |
| Mailing Telephone | 8582924600 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
392596 | CA | Nursing Service Providers |
| Street Address |
446 ALTA RD SUITE 6100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92158-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255422754 | Bonnie Anne Saylor | Registered Nurse | 446 Alta Rd, Suite 500, San Diego, CA 92158-0001 | 2006-09-28 |
| 1346852837 | Francis Martin Orca Mase | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-18 |
| 1538770763 | Ciani Palencia | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-12 |
| 1356952584 | Jack Medrano Mejia | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-12 |
| 1831709351 | Rosauro Ogalino Hernandez | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-10 |
| 1457961948 | Liberty Miguel Tolentino | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-09 |
| 1427668904 | Cesar Ugalde Felarca Jr. | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-09 |
| 1245840727 | May Altares Adraneda | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-09 |
| 1336759810 | Cherry Pink Ramos Medina | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-09 |
| 1316409691 | Emily Martinez | Counselor | 446 Alta Rd, San Diego, CA 92158-3429 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
| 1093325516 | Rodolfo Prilla Locsin | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-10 |
| 1538779020 | Grace Lumenario Cecilio | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 1447860945 | Vanessa Pearl Arceo Rimando | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Suite 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 1437423019 | Lin L Chen-peng | Pharmacist | 408 Alta Rd, San Diego, CA 92158-0001 | 2012-02-29 |
| 1407155401 | Stephanie Delphine Daniels | Pharmacist | 446 Alta Rd Ste 5400, Attn: Ihsc Pharmacy, San Diego, CA 92158-0001 | 2011-03-17 |
| 1750418042 | Sonia Angelica Bahro | Counselor | 446 Alta Rd Ste 6100, San Diego, CA 92158-0001 | 2007-02-27 |
| 1154934156 | Jeremy A Costales | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-28 |
| 1427669167 | Ellen Ramones Lastrella | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-16 |
| 1518577014 | Rachelle Burlaza | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Suite 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| Find all providers in zip 92158 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912535980 | Zachary Charles Smith Sr. | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-03-27 |
| 1285290833 | Jeffrey Ross Besch | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2019-05-18 |
| 1275029779 | Viorica Filsoof | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-07-08 |
| 1437654217 | Michael Paul Licht II | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2018-03-26 |
| 1174038244 | Nicole Rose Stanard | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2017-12-11 |
| 1841711108 | Patricia Soares Rogeri | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2017-06-27 |
| 1194157495 | Priscilla Pittman Garcia | Registered Nurse | 600 B St Ste 1570, San Diego, CA 92101-4560 | 2013-08-08 |
| 1831495340 | Vivian Barnings | Registered Nurse | 4307 3rd Ave, San Diego, CA 92103-1407 | 2011-01-31 |
| 1821394339 | Cathleen Danielson | Registered Nurse | 4307 3rd Ave, San Diego, CA 92103-1407 | 2011-01-31 |
| 1881721751 | Twila Gene Warm | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2007-02-27 |
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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.