Active NPI
Doreen Ann Urban, N.P.
- Nurse Practitioner
- Mission Viejo, CA
National Provider Identifier
1851597207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6440
- Practice address
- 26800 Crown Valley Pkwy.
Suite 330
Mission Viejo, CA 92691 - Phone
- (949) 364-7246
- Fax
- (949) 364-1647
- NPI assigned
- Jun 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3874554 | CA | |
| Nurse Practitioner | 363L00000X | 6440 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy.
Suite 330
Mission Viejo, CA 92691
Mailing address
10148 Stratton CT
Alta Loma, CA 91701
Phone (909) 989-5122
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAL | Other | CA | FHC70324F |
| EAP703234F | Other | CA | EAPC |
| HAP70324F | Other | CA | PACT |
Other names 1
- Doreen Shea
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6440 | CA | MD | Counselor |
| 3874554 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1851597207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10148 STRATTON CT",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "91701",
"telephone_number": "909-989-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY.",
"address_2": "SUITE 330",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-364-7246",
"fax_number": "949-364-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "DOREEN",
"middle_name": "ANN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "3874554",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "6440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FHC70324F",
"identifier": "MEDICAL",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAPC",
"identifier": "EAP703234F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACT",
"identifier": "HAP70324F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOREEN",
"last_name": "SHEA",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.