Individual provider Active NPI

Shelyna A Thawer-Rice, FNP-C

  • Family Nurse Practitioner
  • Arcata, CA
National Provider Identifier
1235147646
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201700411NP-PP Issued in OR
Practice address
770 10TH St
Arcata, CA 95521-6210
Phone
(707) 826-8610
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 837041 TX
Family Nurse Practitioner 363LF0000X 201700411NP-PP OR Primary

Addresses

Primary practice location

770 10TH St
Arcata, CA 95521-6210

Mailing address

3992 Lord Byron Cir
Round Rock, TX 78664-3935
Phone (318) 436-9991

Other identifiers 1

IdentifierTypeStateIssuer
1557374MedicaidLA

Other names 1

  • Shelyna A Thawer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140128001590 TX Practitioner - Nurse Practitioner 9739270695 Reassigns benefits to 1 organization
I20191025002372 OR Practitioner - Nurse Practitioner 9739270695 Reassigns benefits to 1 organization
I20200501000169 WA Practitioner - Nurse Practitioner 9739270695 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201700411NP-PPORMDFamily Nurse Practitioner
837041TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Feb 25, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jun 16, 2020 Accepting new patients
Sea Mar Community Health Centers Family CurrentSince Feb 25, 2020 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jun 16, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

4455 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 671-3225

Interoperability endpoints

  • Direct secure messaging: sthawerrice457464@direct.multicare.org

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1235147646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3992 LORD BYRON CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643935",
            "telephone_number": "318-436-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216210",
            "telephone_number": "707-826-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAWER-RICE",
        "first_name": "SHELYNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "837041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201700411NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557374",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELYNA",
            "last_name": "THAWER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.