Nicole Shin, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN2265565 Issued in MA

Practice address

14355 Miranda Way
Los Altos Hills, CA 94022-2032

Phone

(888) 731-8994

NPI assigned

Jul 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.shin@217526021193732.direct.elationemr.com
• Direct secure messaging: nicole.shin.1@19041.direct.athenahealth.com
• Direct secure messaging: nicole.shin@91098514915332.direct.elationemr.com
• Direct secure messaging: nicole.shin.1@29536.direct.athenahealth.com

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.

• California Birdie Health, P.C.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1730944125
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Michigan Birdie Health PC

  • Internal Medicine Physician
  • Plymouth, MI
  • NPI 1225893050
  NPD (past)
• New Jersey Birdie Health PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1558971929
  NPD (past)
• New York Birdie Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1730058934
  NPD (past)
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1649611237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 MIRANDA WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940222032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 MIRANDA WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940222032",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022151001",
            "country_code": "US",
            "telephone_number": "617-616-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "APRN02819",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "277001488",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95015903",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F162488",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1017182",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2265565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Rowland
• Alfred Rudolph, M.D.
• Melvin F. Russi Jr., M.D.
• Ilya Sabsovich, M.D., M.SC.
• Salari Medical Services (Ny), PLLC
• Angel Marie Smith, APRN, WHNP-BC
• Paul Norman Snider, MD
• Jenna Harris Starko, WHNP
• Edward Brad Stinson, M.D.
• Patricia Allison Tatum, NURSE PRACTITIONER

• Women's Health Nurse Practitioner in Los Altos Hills, CA
• Providers in Los Altos Hills, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.