Shannon Williams

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

844281 Issued in CA

Practice address

7416 Calder Ave
Sebastopol, CA 95472-4356

Phone

(707) 303-5410

NPI assigned

Nov 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Hastings Former name

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

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: swilliams764214@direct.ochin.org
• Direct secure messaging: shannon.williams.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 and National Provider Directory roles.

• Sonoma County Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1265457980
  NPD (past)
• Sonoma County Indian Health Project, Inc

  • Community/Retail Pharmacy
  • Santa Rosa, CA
  • NPI 1568461267
  NPD (past)
• Sonoma County Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Point Arena, CA
  • NPI 1578729380
  NPD (past)
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1023551785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 CALDER AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724356",
            "telephone_number": "707-303-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 CALDER AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724356",
            "telephone_number": "707-303-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "844281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HASTINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juliet Wettle, RDN
• Kathleen Ellen Whisman, M.D.
• Andrew Williams, A.T.C.
• James Williams, CHT
• Jennifer Williams, MD
• Andrea Williamson, MFT
• David Wise, PH.D.
• Jurgen Woelke, L.AC.
• Laura Woodlander, CMT
• Micheline Worth, MFT

• Family Nurse Practitioner in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.