Individual provider Active NPI

Shanna Naylor, MSN, NP, RN

  • Family Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1891184941
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000803 Issued in CA
Practice address
1201 E Bidwell St
Folsom, CA 95630-3450
Phone
(916) 920-6337
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000803 CA Primary

Addresses

Primary practice location

1201 E Bidwell St
Folsom, CA 95630-3450

Mailing address

1201 East Bidwell Street
Folsom, CA 95630
Phone (916) 920-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170425000115 CA Practitioner - Nurse Practitioner 0648556803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

3200 Bell Rd
Auburn, CA 95603-9244
Phone (530) 886-7616

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95000803CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Sep 15, 2018 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Sep 15, 2018 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

3201 Data Dr
Rncho Cordova, CA 95670
Phone (916) 851-1424

550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

1620 E Roseville Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-0251

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3160 Folsom Blvd
Ste 2500
Sacramento, CA 95816
Phone (916) 734-5846

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1891184941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EAST BIDWELL STREET",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-920-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303450",
            "telephone_number": "916-920-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "SHANNA",
        "credential": "MSN, NP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.