MS. SHELLI DAWN CHITTUM (NPI# 1932565322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932565322 |
| Entity Type | Individual |
| Full Name | MS. SHELLI DAWN CHITTUM |
| Credential | NP |
| Practice Address |
300 Pasteur Dr Rm A301 Stanford CA 94305-2200 |
| Practice Telephone | 6507236469 |
| Mailing Telephone | 6507236469 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN644118 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | NP95003729 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2121 Santa Monica Blvd, Santa Monica, CA 904042303 | 3105827450 | 3105827495 |
| Street Address |
300 PASTEUR DR RM A301 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962989 | Martinien Cho | Nurse Practitioner | 300 Pasteur Dr # A21, Stanford, CA 94305-2200 | 2020-05-05 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1619434628 | Jeffrey Chou | Nurse Practitioner | 300 Pasteur Dr # H2512, Stanford, CA 94305-2200 | 2019-02-26 |
| 1013420629 | Allysonne Smith | Nurse Practitioner | 300 Pasteur Dr Rm H2160, Stanford, CA 94305-2200 | 2017-11-06 |
| 1407382815 | Shideh Farahmand | Nurse Practitioner | 900 Blake Wilbur Dr, 3rd Fl, Stanford, CA 94305-2200 | 2017-05-04 |
| 1952842692 | Natalie Alexzanda Boehm | Nurse Practitioner | 300 Pasteur Dr Rm 229, Stanford, CA 94305-2200 | 2017-03-14 |
| 1093141731 | Kelly Marie Cordero | Nurse Practitioner | 300 Pasteur Drive, Hc029, Stanford, CA 94305-5222 | 2013-09-25 |
| 1063700664 | Quynh Dao | Nurse Practitioner | 300 Pasteur Dr # H3630, Stanford, CA 94305-2200 | 2011-07-16 |
| 1205138674 | Carol Ann Barch | Nurse Practitioner | 300 Pasteur Dr Rm S076, Stanford, CA 94305-2200 | 2010-11-17 |
| 1942450424 | Carol Thomson | Nurse Practitioner | 300 Pasteur Dr, Mc5101, Stanford, CA 94305-5101 | 2008-09-22 |
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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.