Individual provider Active NPI

Nina Evelyn Sreshta, MD

  • Psychiatry Physician
  • Woodland, CA
National Provider Identifier
1154749752
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C195590 Issued in CA
Practice address
213 West Beamer Street
Woodland, CA 95695
Phone
(530) 666-8630
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 269551 MA
Psychiatry Physician 2084P0800X C195590 CA Primary
Psychiatry Physician 2084P0800X D0097053 MD
Student in an Organized Health Care Education/Training Program 390200000X MA

Addresses

Primary practice location

213 West Beamer Street
Woodland, CA 95695

Mailing address

213 West Beamer Street
Woodland, CA 95695
Phone (530) 666-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725003500 MA Practitioner - Psychiatry 5890098610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C195590CAMDPsychiatry Physician
269551MAMDPsychiatry Physician
D0097053MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melrosewakefield Healthcare, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Hallmark Health System Inc Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
Yolo County Health and Human Services Agency PastSince May 19, 2024 Accepting new patients

Locations

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

Interoperability endpoints

  • Direct secure messaging: ninasreshta@tdh.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1154749752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WEST BEAMER STREET",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95695",
            "telephone_number": "530-666-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WEST BEAMER STREET",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95695",
            "telephone_number": "530-666-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRESHTA",
        "first_name": "NINA",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "269551",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C195590",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0097053",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.