Active NPI
Sharayn Forkel, RN
- Registered Nurse
- San Rafael, CA
National Provider Identifier
1023258019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 325044
- Practice address
- 899 Northgate Dr
Suite 100
San Rafael, CA 94903-3636 - Phone
- (415) 473-3078
- Fax
- (415) 473-6881
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 325044 | CA | Primary |
Addresses
Primary practice location
899 Northgate Dr
Suite 100
San Rafael, CA 94903-3636
Mailing address
899 Northgate Dr
Suite 100
San Rafael, CA 94903-3636
Phone (415) 473-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325044 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marin County Health and Human Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- San Rafael, CA
- NPI 1366688434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1023258019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 NORTHGATE DR",
"address_2": "SUITE 100",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033636",
"telephone_number": "415-473-3078",
"fax_number": "415-473-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 NORTHGATE DR",
"address_2": "SUITE 100",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033636",
"telephone_number": "415-473-3078",
"fax_number": "415-473-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORKEL",
"first_name": "SHARAYN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "325044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.