SHANNALEE SENIOR (NPI# 1073141529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073141529 |
| Entity Type | Individual |
| Full Name | SHANNALEE SENIOR |
| Credential | APRN-CNP |
| Practice Address |
12574 W Mazatzal Dr Peoria AZ 85383-0379 |
| Practice Telephone | 3473244696 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
243295 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
243295 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12574 W MAZATZAL DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-0379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501406 | Renae Springer | Nurse Practitioner | 736 Sw Washington St, Peoria, IL 61602-1665 | 2019-01-09 |
| 1962959346 | Paulina Simon | Nurse Practitioner | 14074 N 90th Dr, Peoria, AZ 85381-3678 | 2016-09-02 |
| 1952630311 | Laura Lynn Lefever | Nurse Practitioner | Honorhealth Medical Group West Thunderbird Road, 9191 W. Thunderbird Road Suite D-105, Peoria, AZ 85381 | 2009-12-15 |
| 1356404016 | Miao-ling Manns | Nurse Practitioner | 10315 W Robin Ln, Peoria, AZ 85383-2119 | 2006-12-17 |
| 1174508162 | Wayne A Weissinger | Nurse Practitioner | 13943 N 91st Ave, #h-101, Peoria, AZ 85381-3629 | 2005-12-13 |
| 1366444580 | Teresa L King | Nurse Practitioner | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2005-06-01 |
| 1821444894 | Chp Care, PC | Nurse Practitioner | 25812 N 67th Dr, Peoria, AZ 85383-7135 | 2016-05-10 |
| 1053725879 | Jennifer Louise Simpson | Nurse Practitioner | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2014-06-19 |
| 1609289743 | Jennifer Lynn Jacobs | Nurse Practitioner | 13128 N 94th Dr Ste 100, Peoria, AZ 85381-4252 | 2014-06-06 |
| 1972868677 | Stephanie Marie Wilson | Nurse Practitioner | 14155 N 83rd Ave, Peoria, AZ 85381-5639 | 2012-07-09 |
| Find all providers in PEORIA | ||||
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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.