KELLY DIANE SHEEHAN
NPI 1528534005
Nurse Practitioner - Family in Orange, CA

Q: What is Kelly Sheehan's NPI number?

The NPI number for Kelly Sheehan is 1528534005. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Q: What is Kelly Sheehan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sheehan was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 22, 2018

1100 W TOWN AND COUNTRY RD STE 1600, ORANGE, CA 92868(844) 310-2247 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2019, Oct 22, 2018 (2 updates tracked since 2018).

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About Kelly Diane Sheehan NPPES

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

KELLY DIANE SHEEHAN (NPI 1528534005) is an individual family provider in Orange, California, licensed in California (NP95010297) and active in the NPI registry since October 2018. She maintains a secondary practice location in Wrentham.

NPPES Registry Identity

NPI1528534005

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY DIANE SHEEHAN

Location Address1100 W TOWN AND COUNTRY RD STE 1600Orange, CA 92868

Mailing Address3343 4th Ave Apt 104San Diego, CA 92103-5703 · (508) 237-3808

Phone(844) 310-2247

Sole ProprietorNo

Enumeration DateOctober 22, 2018

Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration

✔ NPI 1528534005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · NP95010297✔ Licensed in MA · RN2283832

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2283832 (MA)

1100 W TOWN AND COUNTRY RD STE 1600, Orange, CA 92868

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Secondary Practice Location 1

Location 1155 Harvard LnWrentham, MA 02093-1006 · Phone (508) 237-3808

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.

VALERIE HANCOX

Physician Assistant