MEDICARE: AMY SHIHADY FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP95033626	CA

General Provider Information

NPI Number	:	1053116863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY SHIHADY FNP-C

Provider Business Mailing Address
First Line	:	8329 BRIMHALL RD STE 801
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-4386
Country	:	US
Telephone Number	:	661-695-8385
Fax Number	:	661-679-6801

Provider Business Practice Location Address
First Line	:	8329 BRIMHALL RD STE 801
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-4386
Country	:	US
Telephone Number	:	661-695-8385
Fax Number	:	661-679-6801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	03/31/2026

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