Shahbano Syeda

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

846/848 Gravenstein Hwy South
Sebastopol, CA 95472

Phone

(707) 800-2288

NPI assigned

Jun 4, 2018

Last updated

Jun 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Moni Syeda Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1275025470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846/848 GRAVENSTEIN HWY SOUTH",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "707-800-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846/848 GRAVENSTEIN HWY SOUTH",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "707-800-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 High School Rd",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954722619",
            "country_code": "US",
            "telephone_number": "585-217-2638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYEDA",
        "first_name": "SHAHBANO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONI",
            "last_name": "SYEDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian G Stricker, LCSW
• Amy Strommer, MS SLP
• Robin Maresa Stuart, MFT29894
• Sutter Medical Group of the Redwoods
• Robin Scott Sweeney, MA
• Synde Acks, Psy.D, Professional Inc.
• Aubrianna Rae Tait
• Valerie Helen Takes, RN ACNP
• Tamar-Mattis, D.O., a Professional Organization (Liminal Medicine)
• Suegee Tamar-Mattis, DO

• Athletic Trainer in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.