Individual provider Active NPI

Lisa Catherine Sheehan, RN , NP

  • Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1619195245
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
372035 Issued in CA
Practice address
333Twin Oaks Valley Rd
San Marcos, CA 92096-0001
Phone
(442) 444-0750
Fax
(888) 800-8226
NPI assigned
Apr 20, 2007
Last updated
Jan 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 372035 CA Primary

Addresses

Primary practice location

333Twin Oaks Valley Rd
San Marcos, CA 92096-0001

Mailing address

333 Twin Oaks Valley Rd
San Marcos, CA 92096-0001
Phone (442) 444-0750

Other identifiers 1

IdentifierTypeStateIssuer
363L00000XOtherCARN372035 CA NP 7420

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
372035CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lisa.sheehan.1@17924.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1619195245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TWIN OAKS VALLEY RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "442-444-0750",
            "fax_number": "888-800-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333TWIN OAKS VALLEY RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920960001",
            "telephone_number": "442-444-0750",
            "fax_number": "888-800-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "LISA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "RN , NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "372035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN372035 CA NP 7420",
            "identifier": "363L00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; 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.