PAUL A SHOEMAKER (NPI# 1053654913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053654913 |
| Entity Type | Individual |
| Full Name | PAUL A SHOEMAKER |
| Credential | ARNP |
| Practice Address |
4804 W Clearwater Ave Kennewick WA 99336-2119 |
| Practice Telephone | 5099464611 |
| Mailing Telephone | 5099422355 |
| Mailing Fax Number | 5092221289 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60089738 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60896880 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558739102 | Paul Charles Shoemaker | Physical Therapist | 3500 Hilyard St, Eugene, OR 97405-3867 | 2015-09-11 |
| 1316222599 | Paul E Shoemaker | Pharmacist | 700 Us Highway 31 S, Greenwood, IN 46143-2401 | 2011-10-19 |
| Street Address |
4804 W CLEARWATER AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737706 | Vickie Boll | Physician Assistant | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 | 2005-08-22 |
| 1043767122 | Mindy Barber | Nurse Practitioner | 4804 W Clearwater Ave, Kennewick, WA 99336 | 2016-09-06 |
| 1205233400 | Joshua Hughes | Family Medicine | 4804 W Clearwater Ave, Kennewick, WA 99336 | 2014-12-03 |
| 1649542838 | Laura J Campos | Licensed Practical Nurse | 4804 W Clearwater Ave, Kennewick, WA 99336 | 2012-02-02 |
| 1528391372 | Amanda D Petersen | Physician Assistant | 4804 W Clearwater Ave, Kadlec Clinic Urgent Care, Kennewick, WA 99336 | 2009-09-11 |
| 1982657938 | Franklin C Newhouse | Family Medicine | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 | 2006-05-19 |
| 1841277340 | Bevan W Briggs | Nurse Practitioner | 4804 W Clearwater Ave, Kennewick, WA 99336-2119 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740744952 | Jessica Rose Murphy | Nurse Practitioner | 2915 S Huntington Ct, Kennewick, WA 99337-2557 | 2019-01-23 |
| 1770940322 | Cindy Reed | Nurse Practitioner | 7401 W Hood Pl, Suite 200, Kennewick, WA 99336-3400 | 2016-01-26 |
| 1912307653 | Joshua Robert Anderson | Nurse Practitioner | 3730 Plaza Way Fl 4, Kennewick, WA 99338-2718 | 2014-08-31 |
| 1477896397 | Jill E Graves | Nurse Practitioner | 7131 W Deschutes Ave Ste 101, Kennewick, WA 99336-7801 | 2013-03-28 |
| 1326302647 | Yvonne Teresa Sands | Nurse Practitioner | 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 2012-07-02 |
| 1275809550 | Wild Rose Clinic Inc | Nurse Practitioner | 711 S Auburn St Ste P, Kennewick, WA 99336-5665 | 2012-03-30 |
| 1447571583 | Cynthia Beecher | Nurse Practitioner | 7211 W Deschutes Ave Ste B, Kennewick, WA 99336-7715 | 2010-06-11 |
| 1053570788 | Moms Are Us and Kids 2 Pllc | Nurse Practitioner | 207 N Dennis St, Kennewick, WA 99336-3129 | 2008-06-06 |
| 1043337058 | Bernadette Marie Mcbride | Nurse Practitioner | 2621 W Entiat Ave, Kennewick, WA 99336-3078 | 2007-03-23 |
| 1033139068 | Mary Elizabeth Swihart | Nurse Practitioner | 3900 S Zintel Way Fl 2, Kennewick, WA 99337 | 2006-07-20 |
| Find all providers in KENNEWICK | ||||
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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.