SHAKKAURA EBONY JEWEL KEMET
Student in an Organized Health Care Education/Training Program

Address: 1001 Portrero Ave, San Francisco, CA 94110-3518

SHAKKAURA EBONY JEWEL KEMET (NPI# 1013597665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013597665
Entity Type Individual
Full Name SHAKKAURA EBONY JEWEL KEMET
Gender Female
Credential MD
Practice Address 1001 Portrero Ave
San Francisco
CA 94110-3518
Practice Telephone 4152064069
Mailing Address 1001 Portrero Ave
San Francisco
CA 94110-3518
Certification Date 2021-04-14
Enumeration Date 2021-04-08
Last Update Date 2021-04-14
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Locations

Address Telephone Number Fax Number
1825 4th St, San Francisco, CA 941432350 4153533000

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address shakkaura.kemet@ucsf.edu (email) 1825 4th St, San Francisco, CA 941432350 Direct CSV

Office Location

Street Address 1001 PORTRERO AVE
City SAN FRANCISCO
State CA
Zip Code 94110-3518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396365383 Tiffany Tia Montano Respiratory Therapist, Registered - General Care 1001 Portrero Ave, San Francisco, CA 94110-3518 2020-04-20
1417433525 Jennifer Grace Pearlstein Student in an Organized Health Care Education/Training Program 1001 Portrero Ave, San Francisco, CA 94110-3518 2018-07-12
1154816387 Eleanor Ruth Wohlfeiler Counselor - Mental Health 1001 Portrero Ave, San Francisco, CA 94110-3518 2018-06-29
1396105318 Diana Allane Hampton Registered Nurse 1001 Portrero Ave, San Francisco, CA 94110-3518 2016-03-03
1922480854 Alexandra Lee Counselor 1001 Portrero Ave, San Francisco, CA 94110-3518 2015-06-27
1710372263 Meredith Mirrer Student in an Organized Health Care Education/Training Program 1001 Portrero Ave, Bldg 80-83, San Francisco, CA 94110-3518 2015-04-01
1689071433 Catherine Anne Magee · Catherine Anne Carr Nurse Practitioner - Family 1001 Portrero Ave, Suite 3d, San Francisco, CA 94110-3518 2014-11-21
1740576461 Anya Felice Dubin Student in an Organized Health Care Education/Training Program 1001 Portrero Ave, San Francisco, CA 94110-3518 2011-06-21
1164717047 Lealah Pollock Student in an Organized Health Care Education/Training Program 1001 Portrero Ave, Bldg 80-83, San Francisco, CA 94110-3518 2011-06-18
1194059584 Manuel Avila Tapia Student in an Organized Health Care Education/Training Program 1001 Portrero Ave, Bldg 80-83, San Francisco, CA 94110 2009-10-01
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912588567 Karen Johana Lopez-Acero Advanced Practice Midwife 1001 Potrero Ave Bldg 252nd, San Francisco, CA 94110-3518 2021-04-15
1528654605 Damian Peterson Pharmacist 1001 Potrero Ave Apt 7609, San Francisco, CA 94110-3518 2020-12-14
1538773841 Samantha Santamaria Counselor 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 2020-09-03
1093323222 City and County of San Francisco Clinic/Center - Methadone Clinic 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 2020-07-14
1417572462 Sarah Velez Specialist 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 2020-06-15
1013545474 Rachel Levy Student in an Organized Health Care Education/Training Program 1001 Potrero Ave # 6d, San Francisco, CA 94110-3518 2020-03-31
1013544055 Martin Shapiro Student in an Organized Health Care Education/Training Program 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110-3518 2020-03-26
1255968830 Venus Kit Sze Wu Student in an Organized Health Care Education/Training Program 1001 Potrero Ave Rm 3202, San Francisco, CA 94110-3518 2020-03-24
1295369155 Rebeca Garcia Health Educator 1001 Potrero Ave Bldg 30, San Francisco, CA 94110-3518 2020-02-28
1497386783 Michelle Reyes Physical Therapist 1001 Potrero Ave # Gc-1, San Francisco, CA 94110-3518 2020-01-27
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1891302980 Deena Marlo Abramson Doula 1360 Vermont Street, San Francisco, CA 94110 2020-09-23
1184265829 Brenda Renee Cordova Social Worker - Clinical 3150 18th St., Mailbox #202, San Francisco, CA 94110 2019-10-03
1740835131 Jacob Matz Orthopaedic Surgery - Orthopaedic Trauma Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 2019-08-03
1427523083 John Pier Shaw Counselor - Mental Health 1550 Treat Street, San Francisco, CA 94110 2018-10-10
1548743594 Ana Li Registered Nurse 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 2018-09-14
1295220283 Sarah Jane Blevins Technician, Other 1061 Valencia Street, Apt A, San Francisco, CA 94110 2018-06-22
1053816496 Michelle Stephanie Lough Student in an Organized Health Care Education/Training Program 1001 Potrero Avenue, Bldg 80-83, San Francisco, CA 94110 2018-03-28
1184122723 Dinky Manek Enty Counselor 424 Guerrero St Ste A, San Francisco, CA 94110 2018-01-29
1437519659 Truc Ngo Registered Nurse - Psych/Mental Health, Adult 1001 Petero Ave, Sf, CA 94110 2016-03-01
1407400328 Maya De Paula Hanika Doula 376 Dolores St, San Francisco, CA 94110-1001 2019-07-29
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336720184 Jasmine Alejandrina Correa Student in an Organized Health Care Education/Training Program 1001 Portrero Ave # 6d, San Francisco, CA 94110-3518 2021-04-14
1881274959 Priyanka Deshpande Student in an Organized Health Care Education/Training Program 550 16th Street, 4th Floor, San Francisco, CA 94143 2021-04-12
1124608229 Andrew Yang Xiao Student in an Organized Health Care Education/Training Program 505 Parnassus Ave Ste M590, San Francisco, CA 94143-2204 2021-04-12
1144809971 Karen Jiawen Zhang Student in an Organized Health Care Education/Training Program 1001 Portrero Ave Bldg 80-83, San Francisco, CA 94110-3518 2021-04-07
1821677667 Brady Ikaika Magaoay Student in an Organized Health Care Education/Training Program 490 Illinois St Fl 10, San Francisco, CA 94158-2510 2021-04-07
1376121152 Allison Anguren Student in an Organized Health Care Education/Training Program 438 Kirkham St, San Francisco, CA 94122-3713 2021-04-01
1023696804 Lynn-Indora Edmond Student in an Organized Health Care Education/Training Program 403 Broderick St Apt 3, San Francisco, CA 94117-2290 2021-03-31
1386222156 Evelyn Rhodes Student in an Organized Health Care Education/Training Program 1509 Taraval St Ste A, San Francisco, CA 94116-2387 2021-03-31
1629656004 Marissa Rose Silverman Student in an Organized Health Care Education/Training Program 1114 Ortega St Apt 3, San Francisco, CA 94122-4560 2021-03-29
1215514161 Grace Yuan Zhang Student in an Organized Health Care Education/Training Program 505 Parnassus Ave # M-1480, San Francisco, CA 94143-2204 2021-03-26
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Competitor

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City SAN FRANCISCO
Zip Code 94110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.