MRS. JEANETTE SHELLY


Address: 1200 N Main St, Suite 650, Santa Ana, CA 92701-3640
Phone: 7148248140

MRS. JEANETTE SHELLY (NPI# 1740281765) 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) 1740281765
Entity Type Individual
Full Name MRS. JEANETTE SHELLY
Credential RN, MS, FNP, NP-C
Practice Address 1200 N Main St
Suite 650
Santa Ana
CA 92701-3640
Mailing Address 3 Eastmont
Irvine
CA 92604-3322
Practice Telephone 7148248140
Practice Fax Number 7148248141
Mailing Telephone 9498570283
Enumeration Date 2005-08-02
Last Update Date 2016-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
177200; NP 8770 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 N MAIN ST
SUITE 650
City SANTA ANA
State CA
Zip Code 92701-3640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053924324 Juliana Marie Garcia Case Manager/Care Coordinator 1200 N Main St, Santa Ana, CA 92701-3640 2020-08-26
1992316855 Ramona Pritchett Social Worker 1200 N Main St, Santa Ana, CA 92701-3640 2020-08-13
1528615572 Corina Ychelle Curiel Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2019-08-23
1760037055 Julie Ann Salyards Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2019-08-05
1811558133 Hannah Tran Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2019-06-26
1417432964 Meghan Elizabeth Hayhoe Marriage & Family Therapist 1200 N Main St, Santa Ana, CA 92701-3640 2018-10-01
1174007686 Logan Eaton Social Worker 1200 N Main St, Suite 200, Santa Ana, CA 92701 2018-09-20
1518498203 Maurice Ngo Behavior Technician 1200 N Main St, Ste 300, Santa Ana, CA 92701-3640 2017-03-23
1114462132 Marina Refaat Haroon Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2016-12-29
1568913630 Michael Romero Specialist 1200 N Main St, Santa Ana, CA 92701-3640 2016-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841807401 Midori K Dirig Psychologist 405 W. 3rd Street, Santa Ana, CA 92701 2020-09-28
1952915456 Alexandria Bekele Counselor Address: 405 W. 5th Street, Santa Ana, CA 92701 2020-09-02
1508479239 Candice Bjorkman Counselor 1201 E Fruit St, Santa Ana, CA 92701 2020-08-24
1013527365 Maryiam Elizabeth Barkho Dentist 809 South Main Street Suite B, Santa Ana, CA 92701 2020-08-02
1447803788 Emmett Eugene Cook II Counselor 1207 E Fruit Street, Santa Ana, CA 92701 2019-07-16
1619538741 Emily H Sanders Marriage & Family Therapist 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 2019-06-28
1184191769 Peace of Mind Wellness & Family Counseling, Inc. Counselor 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 2018-10-31
1841765815 Kelly Marie Contreras Clinical Medical Laboratory 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 2018-10-05
1780176537 Diane Carol Navarro-prescott Counselor 1633 East 4th Street, Santa Ana, CA 92701 2018-06-06
1750873758 Eileen Fernandez Counselor 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 2018-06-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356951834 Kim Merchain Nurse Practitioner 130 N Fairview St, Santa Ana, CA 92703-3472 2020-08-09
1831664085 Clemrose Go Nurse Practitioner 809 S Main St, Santa Ana, CA 92701-5719 2018-10-03
1083199194 Federico Augusto Torres Nurse Practitioner 1331 W Central Ave Apt 37, Santa Ana, CA 92704-5774 2018-09-25
1386121697 Samantha Sanh Chan Nurse Practitioner 1525 W San Lorenzo Ave, Santa Ana, CA 92704-6225 2018-07-20
1558854612 Laura Fessler Nurse Practitioner 3501 S. Harbor Blvd, Santa Ana, CA 92704 2018-06-12
1891216370 Ngoc Kim Nguyen Nurse Practitioner 18912 Fowler Ave, Santa Ana, CA 92705-1217 2017-07-05
1427413947 Rhodora Neu Nurse Practitioner 3401 W. Sunflower Avenue, Suite 250, Santa Ana, CA 92704 2015-12-28
1275906711 Caremore Health Plan Nurse Practitioner 1945 E. 17th St., Suite 101, Santa Ana, CA 92705 2015-11-05
1962895334 Samantha Zimmerman Nurse Practitioner 3401 S Main St, Unit K, Santa Ana, CA 92707-4306 2015-03-10
1306265798 Alma Isabel Velasco Nurse Practitioner 617 S Ross St, Santa Ana, CA 92701-5564 2014-04-14
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Competitor

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City SANTA ANA
Zip Code 92701

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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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