Sheena Marie Spanskie, APRN-PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019762 Issued in CA

Practice address

3631 S Harbor Blvd Ste 200
Santa Ana, CA 92704-7936

Phone

(657) 356-6490

NPI assigned

Nov 21, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Noble Behavioral Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1508211194
  NPD (past)
• Southwest Colorado Mental Health Center, Inc

  dba Axis Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1750901260
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1275179657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RUE DE PARC",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 S HARBOR BLVD STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047936",
            "telephone_number": "657-356-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANSKIE",
        "first_name": "SHEENA",
        "middle_name": "MARIE",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Sports Rehabilitation, Inc.
• Southland Integrated Services, Inc. (Integrated Community Services - Santa Ana)
• Praseuth Souvannavong
• Soyeon Kim (Kim's Dental Corporation)
• Anissa Ellen Spada, NURSE PRACTITIONER
• Tina Sparks
• Spartamed
• John A Spear, D.D.S.
• Damien Joseph Spena
• Guadalupe Spencer

• Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.