Individual provider Active NPI

Marci Ann Shewry, N.P.

  • Adult Health Nurse Practitioner
  • Carlsbad, CA
National Provider Identifier
1316066574
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
B337669 Issued in CA
Practice address
2626 El Camino Real Ste B
Carlsbad, CA 92008-1253
Phone
(760) 729-2351
Fax
(760) 729-9675
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X B337669 CA Primary

Addresses

Primary practice location

2626 El Camino Real Ste B
Carlsbad, CA 92008-1253

Mailing address

13354 Kibbings Rd
San Diego, CA 92130-1233
Phone (858) 792-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
B337669CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. PastSince Apr 1, 2007 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1316066574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13354 KIBBINGS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301233",
            "telephone_number": "858-792-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 EL CAMINO REAL STE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081253",
            "telephone_number": "760-729-2351",
            "fax_number": "760-729-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWRY",
        "first_name": "MARCI",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "B337669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.