SHANNON WOZNIAK N.P.
NPI 1609807049
Nurse Practitioner - Psychiatric/Mental Health in Sausalito, CA

Active since July 05, 2006
630 DRAKE AVE, SAUSALITO, CA 94965(415) 339-8813 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Wozniak N.p. NPPES

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

SHANNON WOZNIAK N.P. (NPI 1609807049) is an individual psychiatric/mental health provider in Sausalito, California, licensed in California (95001853) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1609807049
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON WOZNIAKCredential: N.P.
Location Address630 DRAKE AVESausalito, CA 94965-1107
Mailing Address55 Pine TerTiburon, CA 94920-1432 · (801) 946-5998
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 16, 2016
NPI 1609807049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95001853
630 DRAKE AVE, Sausalito, CA 94965

Other Identifiers 2

Medicare UPINQ00860OH
Medicaid2515200OH

Other Providers at the Same Location NPPES 15

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

Dentist (General Practice)
630 DRAKE AVE
SAUSALITO, CA 94965
Marriage & Family Therapist
630 DRAKE AVE
SAUSALITO, CA 94965
Counselor (Mental Health)
630 DRAKE AVE
SAUSALITO, CA 94965
Midwife
630 DRAKE AVE
SAUSALITO, CA 94965
Family Medicine
630 DRAKE AVE
SAUSALITO, CA 94965
Clinic/Center (Federally Qualified Health Center (FQHC))
630 DRAKE AVE
SAUSALITO, CA 94965
Internal Medicine
630 DRAKE AVE
SAUSALITO, CA 94965
Psychologist (Clinical)
630 DRAKE AVE
SAUSALITO, CA 94965

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 Shannon Wozniak's NPI number?

The NPI number for Shannon Wozniak is 1609807049. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Shannon Wozniak located?

Shannon Wozniak practices at 630 Drake Ave, Sausalito, CA 94965. The listed phone number is (415) 339-8813.

What is Shannon Wozniak'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 Shannon Wozniak was last updated on November 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.