Active NPI
Shirley Elaine Hannah, N.P.
- Nurse Practitioner
- Nevada City, CA
National Provider Identifier
1992990782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 16128
- Practice address
- 590 Searls Ave Ste a
Nevada City, CA 95959-3053 - Phone
- (530) 292-3478
- Fax
- (530) 292-4296
- NPI assigned
- Sep 13, 2007
- 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 | 16128 | CA | Primary |
Addresses
Primary practice location
590 Searls Ave Ste a
Nevada City, CA 95959-3053
Mailing address
PO Box 995
Grass Valley, CA 95945-0995
Phone (302) 923-4785
Other practice location 1
15301 Tyler Foote Rd
Nevada City, CA 95959-9318
Phone (530) 292-3478
Other practice location 2
8676 Marysville Rd
Oregon House, CA 95962-9718
Phone (530) 292-3478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16128 | Other | CA | CA NP LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16128 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- shirley.hannah@wsmc1.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1992990782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 995",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959450995",
"telephone_number": "302-923-4785",
"fax_number": "530-292-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 SEARLS AVE STE A",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959593053",
"telephone_number": "530-292-3478",
"fax_number": "530-292-4296"
}
],
"practiceLocations": [
{
"address_1": "15301 Tyler Foote Rd",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959599318",
"country_code": "US",
"telephone_number": "530-292-3478",
"fax_number": "530-292-3478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8676 Marysville Rd",
"address_purpose": "LOCATION",
"city": "Oregon House",
"state": "CA",
"postal_code": "959629718",
"country_code": "US",
"telephone_number": "530-292-3478",
"fax_number": "530-292-4296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNAH",
"first_name": "SHIRLEY",
"middle_name": "ELAINE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "16128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA NP LICENSE",
"identifier": "16128",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.