Active NPI
Ann Murray Abernethy Shortall, R.N., N.P.
- Psychiatric/Mental Health Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1508999541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP18014
- Practice address
- 1500 Franklin St
San Francisco, CA 94109-4523 - Phone
- (415) 474-7310
- NPI assigned
- Mar 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000157275 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP18014 | CA | Primary |
| Registered Nurse | 163W00000X | RN705137 | CA |
Addresses
Primary practice location
1500 Franklin St
San Francisco, CA 94109-4523
Mailing address
117 Pinheiro Cir
Novato, CA 94945-6817
Phone (205) 908-2946
Other names 1
- Ann Murray Abernethy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1682 Novato Blvd
Suite 105
Novato, CA 94947-0001
Phone (415) 473-2721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN705137 | CA | MD | Registered Nurse |
| RN0000157275 | TN | MD | Registered Nurse |
| NP18014 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Marin | Current | Accepting new patients | |
| County of Marin | Current | Accepting new patients |
Locations
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
1682 Novato Blvd
Ste 105
Novato, CA 94947
Phone (415) 473-2721
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- San Rafael, CA
- NPI 1912116252
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenbrae, CA
- NPI 1568525699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1508999541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 PINHEIRO CIR",
"city": "NOVATO",
"state": "CA",
"postal_code": "949456817",
"telephone_number": "205-908-2946",
"fax_number": "415-922-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FRANKLIN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094523",
"telephone_number": "415-474-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTALL",
"first_name": "ANN MURRAY",
"middle_name": "ABERNETHY",
"name_prefix": "Mrs.",
"credential": "R.N., N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000157275",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP18014",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN705137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "ABERNETHY",
"middle_name": "MURRAY",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.