Shaye Larie, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95207424 Issued in CA

Practice address

38001 Old Stage Rd
Gualala, CA 95445-8543

Phone

(707) 412-3176

Fax

(855) 538-4796

NPI assigned

Mar 27, 2019

Last updated

Oct 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shaye.larie.p1@direct.lcthc.nextgenshare.com
• Direct secure messaging: shaye.larie.p1@direct.scihp.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mendonoma Health Alliance

  • Case Management Agency
  • Gualala, CA
  • NPI 1083330807
  NPD
• Redwood Coast Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gualala, CA
  • NPI 1962530725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1013478569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1074",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954451074",
            "telephone_number": "208-954-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38001 OLD STAGE RD",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "954458543",
            "telephone_number": "707-412-3176",
            "fax_number": "855-538-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIE",
        "first_name": "SHAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60704",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95207424",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95207424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hsieh
• Mark Kal, M.D.
• Renee Kaucnik, THERAPIST
• Leon Koenck, PA C
• Lisa Heying Kritz
• Lisa Kritz Physical Therapy Inc.
• Lucinda Weaver Physical Therapy
• Jessica B Maness, LICSW
• Peter W McCann, P.T.
• Mendonoma Health Alliance

• Primary Care Nurse Practitioner in Gualala, CA
• Providers in Gualala, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.