ELIZABETH SHANNON (NPI# 1073042750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073042750 |
| Entity Type | Individual |
| Full Name | ELIZABETH SHANNON |
| Credential | PA-C |
| Practice Address |
Fort Bragg 3bct Bsb 82nd Airborne Division Apo AA 28307 |
| Mailing Address |
935 Foxhunt Ln Fayetteville NC 28314-6077 |
| Practice Telephone | 9109080507 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA058736 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578931762 | Elizabeth Shannon | Nurse Practitioner | 601 Elmwood Ave, Box Psych, Rochester, NY 14642-0001 | 2015-09-04 |
| 1164679080 | Elizabeth C Shannon | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1861418659 | Elizabeth G Shannon | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-07-14 |
| Street Address |
FORT BRAGG 3BCT BSB 82ND AIRBORNE DIVISION |
| City | APO |
| State | AA |
| Zip Code | 28307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518233147 | Joshua Jonathon Pierpont | Physician Assistant | Fort Bragg, Apo, AA 78210 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1003398850 | Bailey Moorhead | Dentist | Bldg C-6238 Ardennes Road, Fort Bragg, NC 28307 | 2018-08-29 |
| 1619454980 | Seth David Williams | Physician Assistant | Bldg C-1722 Tagatay Dr, Fort Bragg, NC 28307 | 2018-07-19 |
| 1134633894 | Ashley Andrick | Physician Assistant | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2017-11-16 |
| 1184144479 | Thomas William Hanna IIi | Dentist | Bldg C-6238 Ardennes St., Fort Bragg, NC 28307 | 2017-06-27 |
| 1720530355 | Robert Holly | Military Health Care Provider | 7606 Reilly Rd, Bldg 2, Fort Bragg, NC 28307 | 2016-10-31 |
| 1891246708 | Womack Army Medical Center | Pharmacy | 1571 Reilly Rd, Bldg 4, Ft Bragg, NC 28307 | 2016-10-17 |
| 1710319405 | Valerie D. Jefferys | Pharmacist | 2817 Reily Road Womack Army Medical Center, Apo, AE 28307 | 2013-08-05 |
| 1689976367 | Komkwuan Pholtavee Paruchabutr | Registered Nurse | Building 4-2817 Reilly Road, Fort Bragg, NC 28307 | 2010-12-01 |
| 1609032879 | Kristi Lyn Natalino | Physical Therapist | 2817 Reilly Rd Bldg 4, Physical Therapy Department, Fort Bragg, NC 28307 | 2008-08-06 |
| Find all providers in zip 28307 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
| 1346714946 | Kyle Rudolph | Physician Assistant | Camp Casey, 0037 Fa Bn 06 Field Artil, Apo, AP 96224-5543 | 2019-01-16 |
| 1952897076 | Alixandra Maria Mackey | Physician Assistant | Via Giorgio Corbetta 17, Apo, AE 36100 | 2018-07-02 |
| 1538652631 | Sung Chol Kim | Physician Assistant | 210th Fa Bde, Unit # 15564, Apo, AP 96224 | 2018-06-13 |
| 1174012959 | Jessica Ann Morley | Physician Assistant | Meddacb Cmr 411, Building 700, Apo, AE 09112 | 2018-05-07 |
| 1346748274 | Jonathan David Mays | Physician Assistant | Landstuhl Regional Medical Center (lrmc), Bldg 3758, Apo, AE 66849 | 2018-01-25 |
| 1710403654 | Dustin Young | Physician Assistant | Rose Barracks Bldg 260, Apo, AE 09112 | 2017-08-22 |
| 1518491984 | Aaron Vanderburg | Physician Assistant | Bldg S180 American Ave, Apo, AP 96260 | 2017-04-12 |
| 1700326493 | Matthew Perdue | Physician Assistant | Hhc 2id Sbde, Unit 15476, Apo, AP 96260-5476 | 2017-03-01 |
| Find all providers in APO | ||||
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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.