Sharen K. Cornils, RN, MFT

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

171922 Issued in CA

Practice address

1445 Veterans Memorial Cir
Yuba City, CA 95993-3011

Phone

(530) 822-7215

Fax

(530) 822-7223

NPI assigned

Jan 29, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1932386190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 REBECCA DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931658",
            "telephone_number": "530-822-7215",
            "fax_number": "530-822-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 VETERANS MEMORIAL CIR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959933011",
            "telephone_number": "530-822-7215",
            "fax_number": "530-822-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNILS",
        "first_name": "SHAREN",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "RN, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "171922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.