TATIANA SHIDAKI WHNP NPI 1215464144

NPI Information

  • NPI: 1215464144
  • Provider Name: TATIANA SHIDAKI, WHNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 N PALM CANYON DR STE 212
    PALM SPRINGS, CA
    ZIP 92262
  • Phone: (760) 327-7900

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NPI Details

Tatiana Shidaki, WHNP is a women's health nurse practitioner in Palm Springs, CA. Tatiana Shidaki, WHNP NPI is 1215464144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 N PALM CANYON DR STE 212
PALM SPRINGS, CA
ZIP 92262-426
Phone: (760) 327-7900
Fax: (760) 327-7905

The NPI 1215464144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2017 and was last updated on 11/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health95006869CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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