Sherisse Sofia Puatu, DNP, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95015137 Issued in CA

Practice address

1617 Westcliff Dr Ste 205
Newport Beach, CA 92660-5526

Phone

(949) 432-4730

NPI assigned

Dec 7, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1871199679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 CANTERBURY WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202020",
            "telephone_number": "562-413-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WESTCLIFF DR STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605526",
            "telephone_number": "949-432-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUATU",
        "first_name": "SHERISSE SOFIA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Prunean, MD
• Rebecca Janae Pruzensky
• Psychological Healing, Inc
• Psylexis, a Professional Psychological Corporation
• Jose Puangco, M.D.
• John Willis Puckett, MD
• Susan Pugach, CNC
• Peggy Ann Pugh, M.D.
• Jenny Puglisi
• Nicole Pullen, ASW

• Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.