Active NPI
Tierra Shardai Walls
- Counselor
- San Francisco, CA
National Provider Identifier
1467021592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 215064
- Practice address
- 1930 Market St
San Francisco, CA 94102-6228 - Phone
- (415) 476-3902
- NPI assigned
- Jun 22, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 215064 | CA | Primary |
Addresses
Primary practice location
1930 Market St
San Francisco, CA 94102-6228
Mailing address
1930 Market St
San Francisco, CA 94102-6228
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 |
|---|---|---|---|
| 215064 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1467021592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 MARKET ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARKET ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026228",
"telephone_number": "415-476-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "TIERRA",
"middle_name": "SHARDAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "215064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.