Shera Banbury, MA ED

Individual provider Active NPI Peer Specialist · Grass Valley, CA

NPI 1376014415 · NPPES record last updated Dec 16, 2018

Key facts

NPI
1376014415
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
13192 Brunswick Rd
Grass Valley, CA 95945-9388
Phone
(530) 273-0631
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Respite Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

13192 Brunswick Rd
Grass Valley, CA 95945-9388

Mailing address

199 Highlands CT
Grass Valley, CA 95945-5225
Phone (530) 277-9390

Other names

  • Mrs. Shera Connin Former name

Other providers in Grass Valley, CA

All providers in Grass Valley, CA · Peer Specialist in California

Sources for this page

Verify at the official NPI Registry.