Individual provider Active NPI

Shana Michelle Coons, DNP-FNP

  • Family Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1861248767
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029963 Issued in CA
Practice address
303 S Baldwin Ave Apt C
Arcadia, CA 91007-3309
Phone
(760) 402-8688
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029963 CA Primary
Family Nurse Practitioner 363LF0000X ARNP.AP.70076371-NP WA

Addresses

Primary practice location

303 S Baldwin Ave Apt C
Arcadia, CA 91007-3309

Mailing address

303 S Baldwin Ave Apt C
Arcadia, CA 91007-3309
Phone (760) 402-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240528002279 CA Practitioner - Nurse Practitioner 6800238452 Reassigns benefits to 2 organizations
I20260113002651 WA Practitioner - Nurse Practitioner 6800238452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

24003 Arroyo Park Dr
Unit 78
Valencia, CA 91355-3738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029963CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc CurrentSince Jan 2, 2026 Accepting new patients
Molina Healthcare of California CurrentSince Jun 3, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Universal Care CurrentSince Oct 4, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

22522 29th Dr SE
#L210
Bothell, WA 98021
Phone (509) 774-7874

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1861248767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BALDWIN AVE APT C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073309",
            "telephone_number": "760-402-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S BALDWIN AVE APT C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073309",
            "telephone_number": "760-402-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONS",
        "first_name": "SHANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029963",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70076371-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.