MRS. SHIRLEY M PRYOR (NPI# 1083601264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083601264 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY M PRYOR |
| Credential | ARNP |
| Practice Address |
176 1st Ave N Po Drawer N Ilwaco WA 98624 |
| Practice Telephone | 3606423747 |
| Practice Fax Number | 3606423361 |
| Mailing Telephone | 3606423747 |
| Mailing Fax Number | 3606423361 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2013-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP30003770 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BCBS | PR8034 | 01 |
| WA | 9616582 | 05 |
| Street Address |
176 1ST AVE N PO DRAWER N |
| City | ILWACO |
| State | WA |
| Zip Code | 98624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558356055 | Steven L Bellinger | Physician Assistant | 176 1st Ave N, Ilwaco, WA 98624-0319 | 2005-09-12 |
| 1255953485 | Brianna Angelina Ayers | Nurse Practitioner | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2020-05-11 |
| 1376172775 | Kyle Shafer | Physician Assistant | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2020-04-07 |
| 1114339389 | Shannon M Marsh | Clinical Nurse Specialist | 176 1st Ave N, Po Box N, Ilwaco, WA 98624-9137 | 2014-05-22 |
| 1043534142 | Tracy Renee Ramos | Specialist/Technologist, Other | 176 1st Ave N, Ilwaco, WA 98624 | 2010-03-17 |
| 1720260441 | Ivan Pe Law | Internal Medicine | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2007-12-04 |
| 1669525739 | Mark R. Kaehler | Emergency Medicine | 176 1st Ave N, Ocean Beach Hospital - Emcare Emergency Physicians, Ilwaco, WA 98624-9137 | 2007-01-19 |
| 1952333221 | Gerald Edward Weaver | Surgery | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2006-07-07 |
| 1245228329 | Eugene G Pontecorvo | Orthopaedic Surgery | 176 1st Ave N, Ilwaco, WA 98624-9137 | 2005-10-12 |
| 1487640884 | Edouard J Duret | Surgery | 176 1st Ave N, Ilwaco, WA 98624 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215240593 | Discovery Coast Emergency Physicians LLC | Emergency Medicine | 174 First Ave. North, Ilwaco, WA 98624 | 2010-07-15 |
| 1720216302 | Jeffrey J Chabot | Pharmacist | 101 Spruce, Ilwaco, WA 98624 | 2009-06-23 |
| 1700025137 | Penny Irene Neal | Specialist | 120 First Avenue, Ilwaco, WA 98624 | 2009-02-09 |
| 1487817508 | Pacific Heart Associates PC | Specialist | 174 First Ave N, Ilwaco, WA 98624 | 2008-07-09 |
| 1639396203 | Ocean Beach Chiropractic Ps | Chiropractor | 167 First Avenue, North, Ilwaco, WA 98624 | 2007-04-18 |
| 1265568133 | Tamra Kay Roloff | Midwife | 901 Lakeview Drive, Ilwaco, WA 98624 | 2007-02-26 |
| 1255416038 | Peninsula Pharmacies Inc | Pharmacy | 101 1st Ave South, Ilwaco, WA 98624 | 2006-10-27 |
| 1356423883 | Ocean Beach Physical Therapy Inc | Physical Therapist | 316 1st Ave. North, Ilwaco, WA 98624 | 2006-10-20 |
| 1295825727 | Thomas Sutherland | Pharmacist | 101 First Ave S, Ilwaco Pharmacy, Ilwaco, WA 98624 | 2006-10-13 |
| 1922198662 | Victoria Margaret Vestal | Physical Therapist | 316 1st Ave North, Ilwaco, WA 98624 | 2006-10-13 |
| Find all providers in zip 98624 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1407454986 | Moore Healthcare Pllc | Nurse Practitioner | 1563 Hemlock Dr, Oak Harbor, WA 98277-3404 | 2020-10-15 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1073111902 | Hailey Marie Baker | Nurse Practitioner | 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 | 2020-10-13 |
| 1770180689 | Elizabeth Hague | Nurse Practitioner | 3690 London Loop Ne, Lacey, WA 98516-6401 | 2020-10-04 |
| 1629675699 | Jesse Ballard | Nurse Practitioner | 1410 N Samantha Rd, Liberty Lake, WA 99019-8626 | 2020-10-02 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1629681523 | Sound Healthworks LLC | Nurse Practitioner | 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 | 2020-08-28 |
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
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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.