SHANNON BOSTON (NPI# 1033758081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033758081 |
Entity Type | Individual |
Full Name | SHANNON BOSTON |
Credential | NP |
Practice Address |
19225 Us Highway 27 Clermont FL 34715-9025 |
Mailing Address |
720 Pataches Pl Groveland FL 34736-8047 |
Practice Telephone | 3523946146 |
Mailing Telephone | 3058346902 |
Enumeration Date | 2019-12-21 |
Last Update Date | 2019-12-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11004710 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
19225 US HIGHWAY 27 |
City | CLERMONT |
State | FL |
Zip Code | 34715-9025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598019838 | Jaymes Gonzales | Psychologist | 19225 Us Highway 27, Clermont, FL 34715-9025 | 2012-11-08 |
1801332424 | Phung Duc Nguyen | Psychiatry & Neurology | 19225 Us Highway 27, Clermont, FL 34715-9025 | 2017-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275147811 | Sharon George | Physical Therapy Assistant | 301 Us-27 N, Minneola, FL 34715 | 2020-09-01 |
1689133290 | Mohawk Surgery Center LLC | Clinic/Center | 201 Mohawk Rd, Minneola, FL 34715 | 2019-03-14 |
1518489970 | Blake Desenti | Student in an Organized Health Care Education/Training Program | 819 Park Trail Drive, Minneola, FL 34715 | 2017-07-07 |
1265855217 | John Geron Rogers | Counselor | 506 S. Hwy 27, Ste N, Minneola, FL 34715 | 2014-01-28 |
1609217132 | Linda Jean Thomas | Speech-Language Pathologist | 20444 Sugarloaf Mountain Road, Clermont, FL 34715 | 2013-07-12 |
1164783833 | Richard Doiron | Physical Therapy Assistant | 236 Mohawk Road, Clermont, FL 34715 | 2012-05-30 |
1194023283 | Simon James Mitchell | Speech-Language Pathologist | 200 C S Hwy 27, Clermont, FL 34715 | 2011-03-14 |
1134438864 | Minneola Chiropractic LLC | Chiropractor | 600 N Us Highway 27, Suite 2, Minneola, FL 34715 | 2010-09-29 |
1013238740 | Kingdom Building Services LLC | Community/Behavioral Health | 833 Willow Run St, Suite A, Minneola, FL 34715 | 2010-06-16 |
1033353313 | Orvil Luis Ayala | Anesthesiology | 240 Mohawk Rd, Clermont, FL 34715 | 2009-04-30 |
Find all providers in zip 34715 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639698822 | Julie M Conrad | Nurse Practitioner | 2140 N Don Wickham Dr, Clermont, FL 34711-1923 | 2017-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
Find all providers with the same taxonomy |
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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.