Shannon Bolton Omahoney, FNP
Individual provider Active NPI Family Nurse Practitioner · Monterey, CA
NPI 1174912752 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1174912752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP95001579 (CA)
- Practice address
- 501 Lighthouse Ave
Monterey, CA 93940-1439 - Phone
- (831) 649-0770
- Fax
- (831) 649-0142
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Svmhs Clinics
Practice addresses (Care Compare)
355 Abbott St
Suite 200
Salinas, CA 93901-4483
Phone (831) 422-3636
Hospital & facility affiliations
- Salinas Valley Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150416000302 | CA | Practitioner - Nurse Practitioner | 0244558575 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95001579 | CA | MD | Family Nurse Practitioner |
| RN 284796 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current |
Accepting new patients | |
| Svmhs Clinics | Current |
Accepting new patients | |
| Doctors on Duty Medical Group, Inc | Current |
Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients | |
| Salinas Urgent Care | Past | Accepting new patients |
Locations
3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
558 Abbott St
#A
Salinas, CA 93901
Phone (831) 242-8645
1212 S Main St
Salinas, CA 93901
Phone (831) 422-7777
1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866
355 Abbott St
Ste 200
Salinas, CA 93901
Phone (831) 422-3636
Interoperability endpoints
- somahoney13652@direct.svmh.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 284796 | MA | |
| Family Nurse Practitioner | 363LF0000X | NP95001579 | CA | Yes |
Addresses
Primary practice location
501 Lighthouse Ave
Monterey, CA 93940-1439
Mailing address
100 Wilson Rd
100
Monterey, CA 93940-7885
Phone (831) 649-1000
Other providers in Monterey, CA
- Kristina Helene Olfson
- Christopher Oliver
- Olivia Dahl, M.D., Inc.
- Ernesto David Olmedo Flores
- Sandra Kai Olson Decker
- Onestarfish
- Santosh Samuel Oommen
- Marissa Katherine Opray
- Optimal Health Acupuncture and Bodywork, Inc.
- Optimum Balance & Rehabilitation
All providers in Monterey, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.