Shirley Siu Heinemann, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

RPH 48368 Issued in CA

Practice address

3900 Lakeville Highway
Kaiser
Petaluma, CA 94952-5698

Phone

(707) 765-3530

Fax

(707) 765-3816

NPI assigned

Oct 12, 2006

Last updated

Nov 17, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1265521348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LAKEVILLE HIGHWAY",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545698",
            "telephone_number": "707-765-3530",
            "fax_number": "707-765-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LAKEVILLE HIGHWAY",
            "address_2": "KAISER",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525698",
            "telephone_number": "707-765-3530",
            "fax_number": "707-765-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANN",
        "first_name": "SHIRLEY",
        "middle_name": "SIU",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "RPH 48368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3900 Lakeville Highway",
            "address_2": "Kaiser",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949525698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Haynes, LCSW
• Healthful Nutrition & Wellness, LLC
• Myrtle Wise Heery, PH.D., M.F.T.
• Erin Heflin
• Francis C Heggli, D.D.S.
• Leah Heinrich, NP
• Mercedes A Heitman, DDS
• Erin Joy Helgerson, M.D.
• Hiroko Helmer
• Shohreh Hemmat

• Pharmacotherapy Pharmacist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.