Individual provider · Type 1 NPI

Shannon Chakedis

Nurse Practitioner · Walnut Creek, CA

NPI number 1134527690 Active

Practice location

177 La Casa Via Ste 390
Walnut Creek, CA 94598-6101

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XCOA.18791-NP (OH)
Registered Nurse 163W00000X766408 (CA)
Nurse Practitioner Primary 363L00000XNP95010200 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134527690

Shannon Chakedis's National Provider Identifier is 1134527690, issued on Dec 16, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Jul 11, 2025.