Shawnda Marie Dorantes, NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

NP95018195 Issued in CA

Practice address

137 S Las Posas Rd Ste 255
San Marcos, CA 92078-2470

Phone

(760) 877-8747

NPI assigned

Sep 4, 2021

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1871261610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25711 WILLOW LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920268639",
            "telephone_number": "760-877-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S LAS POSAS RD STE 255",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782470",
            "telephone_number": "760-877-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORANTES",
        "first_name": "SHAWNDA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "NP95018195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dollbaum, PHARM.D.
• Nicolette E. Dome-Yutsus, AU.D.
• Danielle Dominguez-Rodriguez
• Nichola Donadio-Lewis, SLP
• Alexandra Ripich Donnelly, LCSW
• Victor S Doroski, MD
• Sarah Dougherty
• Douglas L. Reich Chiropractic Wellness Center, Inc.
• Dr Teri Mental Health Therapy, LCSW (Dr. Teri Psychotherapy)
• Dr William S Kachele Jr DMD

• General Practice Registered Nurse in San Marcos, CA
• Providers in San Marcos, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.