Active NPI
Shayde Hunter
- Community Health Worker
- Santa Ana, CA
National Provider Identifier
1043872534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718 - Phone
- (714) 742-0800
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary | |
| Behavior Technician | 106S00000X | CA |
Addresses
Primary practice location
1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
Other practice location 1
12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Phone (855) 223-7123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1043872534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 E DEERE AVE STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055718",
"telephone_number": "714-742-0800"
}
],
"practiceLocations": [
{
"address_1": "12465 Lewis St Ste 102",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928404658",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNTER",
"first_name": "SHAYDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.