Provider Demographics
NPI:1619502812
Name:HELEM, TANSHANICKA SHELLAMICE (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:TANSHANICKA
Middle Name:SHELLAMICE
Last Name:HELEM
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:MRS
Other - First Name:TANSHANICKA
Other - Middle Name:SHELLAMICE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:
Practice Address - Street 1:1350 CONNECTICUT AVE NW STE 1250
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1728
Practice Address - Country:US
Practice Address - Phone:202-627-1901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR143602363LF0000X
NC5017872363LF0000X
TX1136376363LF0000X
DCNP67553363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDNONEMedicaid