Tatiana Shidaki, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95006869 Issued in CA

Practice address

1100 N Palm Canyon Dr Ste 212
Palm Springs, CA 92262-4426

Phone

(760) 327-7900

Fax

(760) 327-7905

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23413/brand/1/csg/1/fhir/r4
• Direct secure messaging: tatiana.shidaki.1@23413.direct.athenahealth.com

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.

• Advanced Women'S Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Palm Desert, CA
  • NPI 1609064435
  Medicare reassignment NPD
• Advanced Women'S Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Yucca Valley, CA
  • NPI 1144339953
  NPD
• Advanced Women'S Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Palm Springs, CA
  • NPI 1134237993
  NPD (past)

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1215464144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 212",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-327-7900",
            "fax_number": "760-327-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 212",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-327-7900",
            "fax_number": "760-327-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDAKI",
        "first_name": "TATIANA",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95006869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Leon Shepard
• James Sherman
• Scott P Sherman, PH.D.
• Tobi Sherman, PSS
• Pamela Joy Sherwood
• Jessica Shields
• William James Shire, LCSW
• Ashley R Sholmire, DO
• Katie Shrader, HAS, BC-HIS
• Siham I Shtayyeh, BA

• Women's Health Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.