MEDICARE: SHANNON MICHELLE HART RN

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	163WS0200X	School Registered Nurse	95205752	CA

General Provider Information

NPI Number	:	1366392276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON MICHELLE HART RN

Provider Business Mailing Address
First Line	:	10170 HUENNEKENS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2964
Country	:	US
Telephone Number	:	858-678-2049
Fax Number	:	858-678-2049

Provider Business Practice Location Address
First Line	:	10170 HUENNEKENS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-2964
Country	:	US
Telephone Number	:	858-678-2049
Fax Number	:	858-678-2049

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

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

Similar Medicare Providers

1841678208 — JESSICA EDWARDS
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 858-349-7278
Practice Fax:

1730060781 — ASHLEY MCNEELY
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 858-676-2020
Practice Fax:

1245111046 — MRS. ELEANOR PE
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 858-678-2036
Practice Fax: 858-678-2036

1720969447 — KAYA ISHIJIMA PPS
Practice Location Address:

10170 HUENNEKENS ST
SAN DIEGO, CA
92121-2964

Practice Phone: 619-393-2209
Practice Fax:

1376746834 — DR. ANITA GUPTA
Practice Location Address:

12843 EL CAMINO REAL
SAN DIEGO, CA
92130-2964

Practice Phone: 844-213-7246
Practice Fax:

1609074731 — MS. JENNY HELENA SVANLINDH OTR/L
Practice Location Address:

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
92161-2964

Practice Phone: 858-552-8585
Practice Fax: 858-552-4315

Directions to “ SHANNON MICHELLE HART RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.