SHANNON BENNETT-GUNDERSON
NPI 1073054334
Nurse Practitioner - Family in San Diego, CA
NPI Status: Active since March 19, 2017
Contact Information
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA
ZIP 92121
Phone: (858) 859-1188
- Individual
- Female
- Nurse Practitioner
- Family
About SHANNON BENNETT-GUNDERSON
This page provides the complete NPI Profile along with additional information for Shannon Bennett-gunderson, a provider established in San Diego, California with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1073054334 assigned on March 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 95005012 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1073054334
- Provider Name
- SHANNON BENNETT-GUNDERSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121
- Location Phone
- (858) 859-1188
- Mailing Address
- 7875 HIGHLAND VILLAGE PL B102-244 SAN DIEGO, CA 92129
- Mailing Phone
- (858) 688-6968
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-19-2017
- Last Update Date
- 05-10-2019
- Code Navigator
A nurse practitioner (NP) like Shannon Bennett-gunderson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 7875 Highland Village Pl B102-244
San Diego, CA 92129
(858) 688-6968
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 95005012
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 536000 (CA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 0 | 5 | 4 | 3 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 0 | 5 | 8 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 0 + 5 + 8 + 3 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1073054334 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235254491 | JAMIE L EVERT PA Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1114112786 | JILL CHANG PA-C Individual | Physician Assistant (Medical) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1336325620 | MRS. JENNIFER ANNE JOHNSTAD PA-C Individual | Physician Assistant (Medical) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1356675037 | MR. ANGEL PEMAYUN ANAK-AGUNG-GEDE PA-C Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1902190523 | JOANNE CAMPBELL RPA-C Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1417290917 | KELLY ELIZABETH JERNIGAN PA-C Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1992231096 | MS. JULIE WHITACRE NP Individual | Nurse Practitioner | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1003248576 | MS. MERISSA ANNE FERRARO AGNP-BC Individual | Nurse Practitioner (Adult Health) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1639567332 | MR. ANDREW SAURIN PA-C Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1851694525 | MELINDA LY CPNP Individual | Nurse Practitioner (Pediatrics) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1750635876 | LINDSAY CHRISTEN AMBUR PA Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1881800811 | MRS. KELLYE B VOGEL P.A. Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1790933299 | MS. LINDSEY CAROL YUNG TUTHILL NP-C Individual | Nurse Practitioner | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1003107293 | GINGER R LUCERO PA-C Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1306384482 | CONGWEI SALO MHS, PA-C Individual | Physician Assistant | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1548772809 | GILLIAN D. MOON FNP Individual | Nurse Practitioner | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1841647054 | ELLEN LUMAGUI MSN, APRN, FNP-BC Individual | Nurse Practitioner (Family) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1336792795 | FRANCES IRENE HINKLE N.P. Individual | Nurse Practitioner (Obstetrics & Gynecology) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
| 1164977922 | MELISSA MUSSO NP-C Individual | Nurse Practitioner (Family) | 5717 PACIFIC CENTER BLVD STE 200 SAN DIEGO, CA 92121 (858) 859-1188 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073054334, enumerated in the NPI registry as an "individual" on March 19, 2017
The provider is located at 5717 Pacific Center Blvd Ste 200 San Diego, Ca 92121 and the phone number is (858) 859-1188
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
This NPI record was last updated on March 19, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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