Shonra Anne Weiss, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95013851 Issued in CA

Practice address

2 James Way Ste 203
Pismo Beach, CA 93449-4976

Phone

(805) 481-3733

NPI assigned

Feb 15, 2020

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1992338289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BASSI DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058052",
            "telephone_number": "805-440-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 203",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494976",
            "telephone_number": "805-481-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "SHONRA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95013851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Andrew Wakeman, DDS
• Alice Wallack, MD
• Alison Watt, PA-C
• Amy E. Webb, M.D.
• Marc W. Weise, M.D.
• Wendy Eve Weiss, DO
• Lucille Amelia Whitaker, 11434
• Kathleen Wilde, RN
• Sarah Marie Willett, DPT
• Deirdre Betty Williams, DNP, FNP-BC

• Primary Care Nurse Practitioner in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.