DERMCLUB X MADISON SHREEVE INC
NPI 1285481986
Nurse Practitioner in Newport Beach, CA

Q: What is Dermclub X Madison Shreeve Inc's NPI number?

The NPI number for Dermclub X Madison Shreeve Inc is 1285481986. It was assigned to this organization in the NPPES registry on May 1, 2024.

Q: What is Dermclub X Madison Shreeve Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 01, 2024

747 DOVER DR STE B, NEWPORT BEACH, CA 92663(979) 706-2872 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dermclub X Madison Shreeve Inc NPPES

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

DERMCLUB X MADISON SHREEVE INC (NPI 1285481986) is a healthcare organization registered as a nurse practitioner in Newport Beach, California and active in the NPI registry since May 2024. The organization lists Madison Shreeve, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285481986

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameDERMCLUB X MADISON SHREEVE INC

Location Address747 DOVER DR STE BNewport Beach, CA 92663-6927

Mailing Address747 Dover Dr Ste BNewport Beach, CA 92663-6927

Phone(979) 706-2872

Organization SubpartNo

Authorized OfficialMadison ShreeveCeo · (949) 706-2872

Enumeration DateMay 1, 2024

NPPES CertifiedMay 1, 2024

✔ NPI 1285481986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

747 DOVER DR STE B, Newport Beach, CA 92663

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dermclub X Madison Shreeve Inc's NPI number?

The NPI number for Dermclub X Madison Shreeve Inc is 1285481986. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Dermclub X Madison Shreeve Inc located?

Dermclub X Madison Shreeve Inc is located at 747 Dover Dr Ste B, Newport Beach, CA 92663. The listed phone number is (979) 706-2872.

What is Dermclub X Madison Shreeve Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dermclub X Madison Shreeve Inc was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.