Shetaye Shemsu, RN, PHN, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

727017 Issued in CA

Practice address

6955 Foothill Blvd FL 3
Oakland, CA 94605-2455

Phone

(510) 604-3203

Fax

(510) 577-1876

NPI assigned

Aug 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1124905500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HAWK RIDGE DR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065819",
            "telephone_number": "510-435-6026",
            "fax_number": "510-577-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 FOOTHILL BLVD FL 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052455",
            "telephone_number": "510-604-3203",
            "fax_number": "510-577-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMSU",
        "first_name": "SHETAYE",
        "credential": "RN, PHN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23417",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "3119",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "727017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Novella Shelling
• Jewel Cheyva Shelton-Canion
• Billie Shelton
• Jeffrey Dale Shelton, PHARMD
• Mark Seymour Shelub, MD
• Diana Shen, PHARMD
• Patrick Shen
• Timothy C Shen, MD
• Budd Norman Shenkin, MD
• Julie Lynn Shepard

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.