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).
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 |
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 |
Street Address |
1200 N MAIN ST SUITE 650 |
City | SANTA ANA |
State | CA |
Zip Code | 92701-3640 |
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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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 |
Find all providers in zip 92701 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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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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.