Active NPI
Melinda Goodwin Sheehan, FNP
- Family Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1629182621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7068
- Practice address
- 144 Stony Point Rd
Santa Rosa, CA 95401-4122 - Phone
- (707) 521-4500
- Fax
- (707) 544-4626
- NPI assigned
- Aug 18, 2006
- Last updated
- Dec 19, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7068 | CA | Primary |
Addresses
Primary practice location
144 Stony Point Rd
Santa Rosa, CA 95401-4122
Mailing address
144 Stony Point Rd
Santa Rosa, CA 95401-4122
Phone (707) 521-4500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629182621 | Medicaid | CA | |
| 406306 | Other | CA | REGISTERED NURSE LICENSE |
| NP0070680 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| P00653931 | Other | CA | RAILROAD MEDICARE |
| NPF 7068 | Other | CA | NURSE PRACTIONER NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1629182621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STONY POINT RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014122",
"telephone_number": "707-521-4500",
"fax_number": "707-544-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STONY POINT RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014122",
"telephone_number": "707-521-4500",
"fax_number": "707-544-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "MELINDA",
"middle_name": "GOODWIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "7068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629182621",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "406306",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "NP0070680",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00653931",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER NUMBER",
"identifier": "NPF 7068",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.