Individual provider Active NPI

Sheela Zachariah, NURSE PRACTITONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Yuba City, CA
National Provider Identifier
1124155072
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012545 Issued in CA
Practice address
1965 Live Oak Blvd
Yuba City, CA 95991-8828
Phone
(530) 822-7200
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 678752 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95012545 CA Primary

Addresses

Primary practice location

1965 Live Oak Blvd
Yuba City, CA 95991-8828

Mailing address

1965 Live Oak Blvd
Yuba City, CA 95991-8828
Phone (530) 822-7200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191204002489 CA Practitioner - Nurse Practitioner 3173956133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SutterGroup PAC ID 8426035627, 13 clinicians

Practice addresses (Care Compare)

1965 Live Oak Blvd
Suite a
Yuba City, CA 95991-8850
Phone (530) 822-7200

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012545CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sutter CurrentSince Sep 8, 2019 Accepting new patients
County of Sutter CurrentSince Sep 8, 2019 Accepting new patients

Locations

545 Garden Hwy
Ste B
Yuba City, CA 95991
Phone (530) 674-1885

1965 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 673-8255

1965 Live Oak Blvd
Ste A
Yuba City, CA 95991
Phone (530) 822-7513

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1124155072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959918828",
            "telephone_number": "530-822-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959918828",
            "telephone_number": "530-822-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "SHEELA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "678752",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.