Individual provider Active NPI

Shanae Mapp, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1023532231
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN222470 Issued in GA
Practice address
5214F Diamond Heights Blvd
San Francisco, CA 94131-2175
Phone
(415) 360-3348
Fax
(404) 868-8425
NPI assigned
Jul 29, 2017
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN222470 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61678091 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G183892 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN222470 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193493 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TPAN3372 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406763 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1771051 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0137802TELE VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5023502 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L5-0000087 DE

Addresses

Primary practice location

5214F Diamond Heights Blvd
San Francisco, CA 94131-2175

Mailing address

5214F Diamond Heights Blvd
San Francisco, CA 94131-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NE, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210330000980 GA Practitioner - Nurse Practitioner 1557778057 Reassigns benefits to 3 organizations
I20260401000489 NE Practitioner - Nurse Practitioner 1557778057 Reassigns benefits to 1 organization
I20260414000775 IA Practitioner - Nurse Practitioner 1557778057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians
Alegent Creighton HealthGroup PAC ID 1850285255, shared by 26 NPIs, 137 clinicians

Practice addresses (Care Compare)

1700 Northside Dr NW
Suite A7
Atlanta, GA 30318-2695
Phone (415) 360-3348

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L5-0000087DEMDPsychiatric/Mental Health Nurse Practitioner
TPAN3372FLMDPsychiatric/Mental Health Nurse Practitioner
RN222470GAMDPsychiatric/Mental Health Nurse Practitioner
G183892IAMDPsychiatric/Mental Health Nurse Practitioner
1771051IDMDPsychiatric/Mental Health Nurse Practitioner
5023502NCMDPsychiatric/Mental Health Nurse Practitioner
406763NYMDPsychiatric/Mental Health Nurse Practitioner
0024193493VAMDPsychiatric/Mental Health Nurse Practitioner
101.0137802TELEVTMDPsychiatric/Mental Health Nurse Practitioner
AP61678091WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical of Michigan PC CurrentSince May 1, 2025 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Oct 29, 2023 Accepting new patients
Lifesource of North Carolina Psychiatric/Mental Health CurrentSince Mar 1, 2021 Accepting new patients
Lifesource of North Carolina CurrentSince Mar 1, 2021 Accepting new patients
Thrive Wellness Clinic, LLC PastSince Jun 12, 2022 Accepting new patients
Houston Oncology Past Accepting new patients
Atlanta Psychotherapy, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

4015 S Cobb Dr SE
Ste 115
Smyrna, GA 30080
Phone (770) 431-2354

2160 Fountain Dr
Ste 100
Snellville, GA 30078
Phone (678) 344-8268

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1023532231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214F DIAMOND HEIGHTS BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312175",
            "fax_number": "404-868-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214F DIAMOND HEIGHTS BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312175",
            "telephone_number": "415-360-3348",
            "fax_number": "404-868-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPP",
        "first_name": "SHANAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-29",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN222470",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61678091",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G183892",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN222470",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193493",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "TPAN3372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406763",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "1771051",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0137802TELE",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023502",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L5-0000087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.