Active NPI
Shayne Jarvie, BA PSYCHOLOGY
- Case Manager/Care Coordinator
- Eureka, CA
National Provider Identifier
1922860477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3 Commercial St
Eureka, CA 95501-0241 - Phone
- (707) 442-2213
- NPI assigned
- Jan 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | Primary |
Addresses
Primary practice location
3 Commercial St
Eureka, CA 95501-0241
Mailing address
531 K St
Eureka, CA 95501-1146
Phone (707) 441-4115
Other names 1
- Shayna Jarvie
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)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Eureka Dba Uplift Eureka | Current | Accepting new patients | |
| City of Eureka Dba Crisis Alternative Response of Eureka | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
531 K St
Eureka, CA 95501
Phone (707) 441-4253
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Eureka, CA
- NPI 1760106405
Case Manager/Care Coordinator
-
- Case Management Agency
- Eureka, CA
- NPI 1497630016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1922860477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 K ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011146",
"telephone_number": "707-441-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COMMERCIAL ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010241",
"telephone_number": "707-442-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIE",
"first_name": "SHAYNE",
"credential": "BA PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAYNA",
"last_name": "JARVIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.