MELINDA GOODWIN SHEEHAN FNP NPI 1629182621

NPI Information

  • NPI: 1629182621
  • Provider Name: MELINDA GOODWIN SHEEHAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 144 STONY POINT RD
    SANTA ROSA, CA
    ZIP 95401
  • Phone: (707) 521-4500

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NPI Details

Melinda Goodwin Sheehan, FNP is a family nurse practitioner in Santa Rosa, CA. Melinda Goodwin Sheehan, FNP NPI is 1629182621. 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:

144 STONY POINT RD
SANTA ROSA, CA
ZIP 95401-122
Phone: (707) 521-4500
Fax: (707) 544-4626

The NPI 1629182621 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 8/18/2006 and was last updated on 12/19/2012.

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
1363LF0000XNurse PractitionerFamily7068CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NPF 7068OTHERCALIFORNIANURSE PRACTIONER NUMBER
2P00653931OTHERCALIFORNIARAILROAD MEDICARE
3406306OTHERCALIFORNIAREGISTERED NURSE LICENSE
4NP0070680OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
5AT599MEDICARE PINCALIFORNIA
61629182621MEDICAIDCALIFORNIA

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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