Active NPI
Shorena Thomas, FNP
- Nurse Practitioner
- Chula Vista, CA
National Provider Identifier
1962927285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95006664
- Practice address
- 345 Alpine Ave
Chula Vista, CA 91910-2906 - Phone
- (619) 484-5434
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95006664 | CA | Primary |
Addresses
Primary practice location
345 Alpine Ave
Chula Vista, CA 91910-2906
Mailing address
345 Alpine Ave
Chula Vista, CA 91910-2906
Phone (619) 484-5434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95006664 | Other | CA | FNP |
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 |
|---|---|---|---|
| 95006664 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962927285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 ALPINE AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102906",
"telephone_number": "619-484-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 ALPINE AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919102906",
"telephone_number": "619-484-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHORENA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95006664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "95006664",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.