SHIRLEY ELAINE HANNAH (NPI# 1992990782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992990782 |
| Entity Type | Individual |
| Full Name | SHIRLEY ELAINE HANNAH |
| Credential | N.P. |
| Practice Address |
25 Mitchell Blvd San Rafael CA 94903-2007 |
| Practice Telephone | 4154722343 |
| Practice Fax Number | 4154727636 |
| Mailing Telephone | 4154722343 |
| Mailing Fax Number | 4154727636 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 16128 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25 MITCHELL BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537235 | Essential Balance Physical Therapy, Inc | Physical Therapist | 25 Mitchell Blvd, Suite 2, San Rafael, CA 94903-2007 | 2006-05-20 |
| 1801298930 | Lauren Ione Friedeman | Physical Therapist | 25 Mitchell Blvd, Suite 2, San Rafael, CA 94903-2007 | 2014-09-19 |
| 1215137716 | Seemin Anna Dallenbach | Chiropractor | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-07-23 |
| 1497959266 | Karilee Halo Shames | Registered Nurse | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-06-13 |
| 1043420896 | Judy Lane | Nurse Practitioner | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-05-23 |
| 1679783625 | Richard L. Shames | Preventive Medicine | 25 Mitchell Blvd, #8, San Rafael, CA 94903-2007 | 2007-05-22 |
| 1881722247 | Thomas Reece | Neuromusculoskeletal Medicine, Sports Medicine | 25 Mitchell Blvd, San Rafael, CA 94903-2007 | 2007-02-28 |
| 1740318112 | Elson M Haas | Allergy & Immunology | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-02-28 |
| 1093893752 | Ann Hathaway | Family Medicine | 25 Mitchell Blvd, #3, San Rafael, CA 94903-2007 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1134527963 | Susana Mckeough | Nurse Practitioner | 179 Acacia Avenue Room 100, Dominican University Student Health Center, San Rafael, CA 94901 | 2014-12-10 |
| 1720238918 | Keri Schwartz | Nurse Practitioner | 1177 E.francisco Blvd. Suite B, San Rafael, CA 94901 | 2008-09-24 |
| 1033223755 | Marne Anne Burgess | Nurse Practitioner | 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903-4178 | 2006-08-19 |
| 1831740422 | Natalie Marie Vano | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2019-09-25 |
| 1588137434 | Amanda Adams | Nurse Practitioner | 718 4th St, San Rafael, CA 94901-3213 | 2019-01-03 |
| 1285762609 | Kerry Patricia Murphy | Nurse Practitioner | 3270 Kerner Blvd, Suite A, San Rafael, CA 94901-4840 | 2007-02-28 |
| 1689603490 | Gina Noelle Cloney | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.