Alissa Shattenberg, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 15692 Issued in CA

Practice address

970 Embarcadero del Mar
Isla Vista, CA 93117-4869

Phone

(805) 968-1511

Fax

(805) 685-2467

NPI assigned

Oct 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255417895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W GUTIERREZ ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013835",
            "telephone_number": "805-968-1511",
            "fax_number": "805-685-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EMBARCADERO DEL MAR",
            "city": "ISLA VISTA",
            "state": "CA",
            "postal_code": "931174869",
            "telephone_number": "805-968-1511",
            "fax_number": "805-685-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTENBERG",
        "first_name": "ALISSA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 15692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "NP15692",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renae Jean O'Keeffe, NP
• Clorinda Rossi-Shewan, LMFT
• Santa Barbara Neighborhood Clinics
• Santa Barbara Neighborhood Clinics
• Santa Barbara Neighborhood Clinics
• Emily Paige Smith
• Kristen Strong, PHD
• Jason Soong-Jee Wong

• Family Nurse Practitioner in Isla Vista, CA
• Providers in Isla Vista, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.