Active NPI
Shanna James
- Psychiatric/Mental Health Nurse Practitioner
- Redlands, CA
National Provider Identifier
1942765045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95020518
- Practice address
- 308 W State St Ste 3D
Redlands, CA 92373-4653 - Phone
- (909) 566-9669
- NPI assigned
- Feb 4, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95020518 | CA | Primary |
Addresses
Primary practice location
308 W State St Ste 3D
Redlands, CA 92373-4653
Mailing address
22315 Blue Lupine Cir
Grand Terrace, CA 92313-5481
Phone (909) 435-8198
Other practice location 1
14677 Merrill Avenue
Fontana, CA 92335
Phone (951) 643-2340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95020518 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alondra Loya | Past | Accepting new patients | |
| C&C Center for Healing | Past | Accepting new patients |
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.
-
- Case Manager/Care Coordinator
- Fontana, CA
- NPI 1568160828
-
- Clinical Social Worker
- Redlands, CA
- NPI 1912830308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1942765045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22315 BLUE LUPINE CIR",
"city": "GRAND TERRACE",
"state": "CA",
"postal_code": "923135481",
"telephone_number": "909-435-8198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W STATE ST STE 3D",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734653",
"telephone_number": "909-566-9669"
}
],
"practiceLocations": [
{
"address_1": "14677 Merrill Avenue",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "92335",
"country_code": "US",
"telephone_number": "951-643-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "SHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2022-10-21",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95020518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.