SHANNON ELIZABETH KELLER (NPI# 1083126106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083126106 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH KELLER |
| Other Name | SHANNON ELIZABETH MCGEE |
| Credential | PA-C |
| Practice Address |
1000 Highway 76 Clarksville TN 37043-8405 |
| Mailing Address |
Po Box 30459 Clarksville TN 37040-0008 |
| Practice Telephone | 9312451150 |
| Mailing Telephone | 9312451150 |
| Mailing Fax Number | 9312450605 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3427 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316320344 | Shannon Stinson Keller | Advanced Practice Midwife | 4011 Old Clinic Building, Cb #7570, Chapel Hill, NC 27599-7570 | 2015-07-08 |
| 1255760807 | Shannon Keller | Physical Therapist | 29 Franklin Creek Rd S, Savannah, GA 31411-2825 | 2013-11-04 |
| 1578993085 | Shannon Keller | Behavioral Analyst | 1800 Cooper Point Rd Sw, Olympia, WA 98502-1178 | 2013-11-19 |
| 1952521650 | Shannon A Keller | Counselor | 4823 N Royal Atlanta Dr, Suite C, Tucker, GA 30084-3806 | 2007-04-26 |
| Street Address |
1000 HIGHWAY 76 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225073166 | Covenant Family Practice, PC | Family Medicine | 1000 Highway 76, Clarksville, TN 37043-8405 | 2006-06-17 |
| 1902465669 | Stephanie Lee Byard | Physician Assistant | 1000 Highway 76, Clarksville, TN 37043-8405 | 2019-06-06 |
| 1265738819 | Robert Niemann | Nurse Practitioner | 1000 Highway 76, Clarksville, TN 37043-8405 | 2011-01-31 |
| 1821392499 | Sabrina Cook | Nurse Practitioner | 1000 Highway 76, Clarksville, TN 37043-8405 | 2010-12-22 |
| 1649574211 | Covenant Family Practice | Clinic/Center | 1000 Highway 76, Clarksville, TN 37043-8405 | 2010-12-22 |
| 1528361730 | Covenant Family Practice | Clinic/Center | 1000 Highway 76, Clarksville, TN 37043-8405 | 2010-12-09 |
| 1588895635 | Anita Kline Taylor | Physician Assistant | 1000 Highway 76, Clarksville, TN 37043-8405 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1407472079 | Melissa Perkins | Physician Assistant | 2080 Madison St, Clarksville, TN 37043-5087 | 2020-06-19 |
| 1932735297 | Desirae Marie Sheppard | Physician Assistant | 1304 Sharptail Trl, Clarksville, TN 37042-8113 | 2020-03-19 |
| 1669011094 | Jasmine Adams | Physician Assistant | 609 Rocky Hill Rd, Clarksville, TN 37042-6019 | 2020-01-02 |
| 1700369394 | Michael English | Physician Assistant | 1871 Rains Rd, Clarksville, TN 37042-1966 | 2018-09-11 |
| 1770078040 | Novus Behavioral Health | Physician Assistant | 130 Hillcrest Dr Ste 213, Clarksville, TN 37043-5083 | 2018-06-28 |
| 1619462546 | Cody R Thomas | Physician Assistant | 1060 W Creek Coyote Trl Apt 1302, Clarksville, TN 37042-8266 | 2018-06-23 |
| 1447753314 | Vincent Michael Proctor | Physician Assistant | 775f Weatherly Dr, Clarksville, TN 37043-8942 | 2018-03-16 |
| 1124539580 | Lauren Michelle Huddleston | Physician Assistant | 1524 Madison St, Clarksville, TN 37040-3846 | 2017-10-12 |
| 1043720287 | Kathryn Fitzpatrick Rodgers | Physician Assistant | 5403 Talon Ct, Clarksville, MD 21029-1142 | 2017-10-02 |
| 1194243709 | Christina Joanne O'hara-rodriguez | Physician Assistant | 803 River Run, Clarksville, TN 37043-6042 | 2017-09-03 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.