Individual provider Active NPI

Shawna Michelle Gloudeman

  • School Registered Nurse
  • Yucaipa, CA
National Provider Identifier
1316874639
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
678932 Issued in CA
Practice address
35912 Avenue H
Yucaipa, CA 92399-5206
Phone
(909) 790-8550
NPI assigned
May 8, 2026
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 678932 CA Primary

Addresses

Primary practice location

35912 Avenue H
Yucaipa, CA 92399-5206

Mailing address

10959 Yunis CT
Yucaipa, CA 92399-9475
Phone (909) 790-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
678932CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1316874639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10959 YUNIS CT",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999475",
            "telephone_number": "909-790-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35912 AVENUE H",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995206",
            "telephone_number": "909-790-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOUDEMAN",
        "first_name": "SHAWNA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "678932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.