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SHAUTAUQUA BLOCKER APRN
NPI 1255911418
Nurse Practitioner - Psychiatric/Mental Health in Sun Valley, CA

Active since April 12, 2021
8142 SUNLAND BLVD, SUN VALLEY, CA 91352(818) 582-8832 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Apr 12, 2021 (2 updates tracked since 2021).

About Shautauqua Blocker Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUTAUQUA BLOCKER APRN (NPI 1255911418) is an individual psychiatric/mental health provider in Sun Valley, California, licensed in Nevada (810948) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1255911418
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAUTAUQUA BLOCKERCredential: APRN
Location Address8142 SUNLAND BLVDSun Valley, CA 91352-3948
Mailing Address6210 N Jones Blvd Unit 751042Las Vegas, NV 89136-8851 · (601) 572-9199
Phone(818) 582-8832
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1255911418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NV · 810948
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 95024737 (CA)
8142 SUNLAND BLVD, Sun Valley, CA 91352
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE MARIE VILLARREAL
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832
JARRED RICKARD
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832
MR. WILLIAM TRAVIS KOOCK
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832
MR. MAURICIO ALBERTO GONZALEZ
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832
MICHAEL CHAVEZ
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832
MR. SUNG YEO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (213) 248-2225
GAZET HOLGUIN
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832
BRIANA TORRES
Technician
8142 SUNLAND BLVD
SUN VALLEY, CA 91352
Los Angeles County (818) 582-8832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shautauqua Blocker's NPI number?

The NPI number for Shautauqua Blocker is 1255911418. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Shautauqua Blocker located?

Shautauqua Blocker practices at 8142 Sunland Blvd, Sun Valley, CA 91352. The listed phone number is (818) 582-8832.

What is Shautauqua Blocker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shautauqua Blocker was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.