Shannon Michael Cherukara, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013068 Issued in CA

Practice address

429 Rumsey CT
San Jose, CA 95111-1727

Phone

(267) 243-9933

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1457074676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 RUMSEY CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 RUMSEY CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111727",
            "telephone_number": "267-243-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERUKARA",
        "first_name": "SHANNON",
        "middle_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae-Pei Cherng, M.D.
• Harmanjit Singh Cherra, D.C.
• Carter M Cherry, MD
• Courtney Lyn Cherry
• William Edward Cherry, M.D.
• Jennifer Cheryba
• Cheryl G. Vicencio, DMD, a Professional Corporation
• Alex Cheung
• Alphonsus Lapman Cheung, MD
• Doris Cheung

• Family Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.