Individual provider Active NPI

Shelley Cerasaro, N.D.

  • Naturopath
  • Redding, CA
National Provider Identifier
1396807392
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-247 Issued in CA
Practice address
221 Locust St Ste 204
Redding, CA 96001-2836
Phone
(530) 242-8888
Fax
(530) 242-8889
NPI assigned
Dec 15, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-247 CA Primary

Addresses

Primary practice location

221 Locust St Ste 204
Redding, CA 96001-2836

Mailing address

221 Locust St Ste 204
Redding, CA 96001-2836
Phone (530) 242-8888

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
ND-247CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396807392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LOCUST ST STE 204",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012836",
            "telephone_number": "530-242-8888",
            "fax_number": "530-242-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LOCUST ST STE 204",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012836",
            "telephone_number": "530-242-8888",
            "fax_number": "530-242-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERASARO",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.