AYNE SHORE MFT
NPI 1679683130
Marriage & Family Therapist in Santa Rosa, CA
About Ayne Shore Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYNE SHORE MFT (NPI 1679683130) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC37449) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ayne Shore Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Ayne Shore's NPI number?
The NPI number for Ayne Shore is 1679683130. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Ayne Shore located?
Ayne Shore practices at 534 B St, Santa Rosa, CA 95401. The listed phone number is (707) 696-6978.
What is Ayne Shore's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Ayne Shore enrolled in Medicare?
Yes. Ayne Shore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ayne Shore was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ayne Shore, MFT · NPI 1679683130
Marriage & Family Therapist provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1679683130 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFC37449 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 534 B ST, Santa Rosa, CA 95401-5211
- **Phone:** (707) 696-6978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** August 15, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1679683130) · Data from the CMS NPPES public registry.