SHANNON IVES (NPI# 1063919611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063919611 |
| Entity Type | Individual |
| Full Name | SHANNON IVES |
| Credential | CRNP |
| Practice Address |
228 Independence Rd East Stroudsburg PA 18301-9435 |
| Mailing Address |
726 Maple Grove Rd Moscow PA 18444-6862 |
| Practice Telephone | 5704262830 |
| Mailing Telephone | 5702372312 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
SP018102 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 E Brown St, East Stroudsburg, PA 183013006 | 5704763367 |
| Street Address |
228 INDEPENDENCE RD |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-9435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952552549 | Kimberly Melissa Stambaugh | Pharmacist | 228 Independence Rd, East Stroudsburg, PA 18301-9435 | 2008-10-01 |
| 1841628732 | Family Care Centers, Inc. | Dermatology | 228 Independence Rd, East Stroudsburg, PA 18301-9435 | 2013-10-31 |
| 1013273846 | Family Care Centers Inc. | Obstetrics & Gynecology | 228 Independence Rd, East Stroudsburg, PA 18301-9435 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295788644 | Karen Papazian | Nurse Practitioner | 300 Plaza Ct, Suite B, East Stroudsburg, PA 18301-8260 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508360538 | Melissa Mosczczynski | Nurse Practitioner | 9815 Roosevelt Blvd Ste C, Philadelphia, PA 19114-1035 | 2018-03-23 |
| 1689197873 | Rebecca Silver | Nurse Practitioner | 4807 Freemansburg Ave Ste 250, Easton, PA 18045-5522 | 2017-07-20 |
| 1376817569 | Lolita Maria Vaughan | Nurse Practitioner | 9501 Roosevelt Ave., Suite 404, Philadelphia, PA 19114 | 2012-03-06 |
| 1942596879 | Rose Wassel | Nurse Practitioner | 105 Firethorn Rd, Baden, PA 15005-2619 | 2011-06-20 |
| 1134424476 | Barrie Sydelle Essner | Nurse Practitioner | 1 Azalea Cir, Lafayette Hill, PA 19444-2102 | 2011-01-18 |
| 1215246780 | Casandra B. Gaffney | Nurse Practitioner | 600 E Marshall St Ste 205, West Chester, PA 19380-4453 | 2010-10-01 |
| 1174763601 | Lucinda A Reichley | Nurse Practitioner | 644 E High St Rear, Planned Parenthood, Pottstown, PA 19464-5762 | 2009-02-24 |
| 1912165960 | Doylestown Gynecology | Nurse Practitioner | 14 Memorial Dr, Ste A, Doylestown, PA 18901-3529 | 2008-05-27 |
| 1457536286 | Ruth Agers Rice | Nurse Practitioner | Cwm Seventeenth and Chew, Suite 100, Allentown, PA 18105 | 2007-12-28 |
| 1285768192 | Margaret Brown | Nurse Practitioner | 728 W Lincoln Hwy Fl 2, Exton, PA 19341 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
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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.