Jeanette Shelly, RN, MS, FNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

177200; NP 8770 Issued in CA

Practice address

1200 N Main St
Suite 650
Santa Ana, CA 92701-3640

Phone

(714) 824-8140

Fax

(714) 824-8141

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• College Community Services

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD (past)
• Patricia Ayala-Guzman

  • Mental Health Counselor
  • Santa Ana, CA
  • NPI 1033590989
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1740281765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EASTMONT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043322",
            "telephone_number": "949-857-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "address_2": "SUITE 650",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013640",
            "telephone_number": "714-824-8140",
            "fax_number": "714-824-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, FNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "177200; NP 8770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Najat Sheety-Pilon, O.D.
• Michael A Sheety, M.D., F.A.C.S.
• Merna Shehata
• Khalil Sheibani, MD
• Fatemeh Daftarian Sheikhan, MD
• Joanne Shelly
• Karen Shelton
• Kathleen Shelton
• Shan Shen
• Yong Shen

• Family Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.