Active NPI
Shelby Lynn Geuder
- Student in an Organized Health Care Education/Training Program
- Fresno, CA
National Provider Identifier
1396397998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- ASW115801
- Practice address
- 4441 E Cesar Chavez Blvd
Fresno, CA 93702-3604 - Phone
- (559) 600-6971
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | ASW115801 | CA | Primary |
Addresses
Primary practice location
4441 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Mailing address
4441 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Other practice location 1
3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-9180
Other practice location 2
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW115801 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Fresno | Current | Accepting new patients |
Locations
4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099
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.
-
- Adult Mental Health Clinic/Center
- Fresno, CA
- NPI 1699909812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1396397998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 E CESAR CHAVEZ BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E CESAR CHAVEZ BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-600-6971"
}
],
"practiceLocations": [
{
"address_1": "3133 N Millbrook Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937031425",
"country_code": "US",
"telephone_number": "559-600-9180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4441 E Kings Canyon Rd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-600-9180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEUDER",
"first_name": "SHELBY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "ASW115801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.