Shalise Ranae Munoz, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15075 Issued in CA

Practice address

609 4TH Street
Bakersfield, CA 93304

Phone

(661) 631-3205

Fax

(661) 328-0591

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Shalise Ranae Pollock Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAJICA

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.

• Bakersfield City School District

  • Local Education Agency (LEA)
  • Bakersfield, CA
  • NPI 1912062316
  NPD (past)
• Sumeet Bhinder MD Inc

  • Non-Pharmacy Dispensing Site
  • Bakersfield, CA
  • NPI 1003627159
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1124112248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055406",
            "telephone_number": "661-631-5895",
            "fax_number": "661-631-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 4TH STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93304",
            "telephone_number": "661-631-3205",
            "fax_number": "661-328-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "SHALISE",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15075",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "560836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bcsd.com/apps/pages/index.jsp?uREC_ID=1068053&type=d&pREC_ID=1360883",
            "affiliation": "N",
            "endpointDescription": "School Health Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Informational Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact Information of Wellness Centers",
            "address_1": "609 4th Street",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHALISE",
            "last_name": "POLLOCK",
            "middle_name": "RANAE",
            "prefix": "MRS.",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla Angelina Munoz
• Mabel Munoz
• Maria Lourdes Munoz, PPSC
• Rochelle Renee Munoz
• Shadey Munoz
• Stephen Rosales Munoz
• Trisha Munoz
• Veronica Munoz
• Paula Munyon
• Alyssa Muratalla

• Family Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, 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 Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.