SHAUNA MCKEON (NPI# 1104145069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104145069 |
| Entity Type | Individual |
| Full Name | SHAUNA MCKEON |
| Credential | APRN |
| Practice Address |
1 Alden Pl Vergennes VT 05491-1102 |
| Practice Telephone | 8022225201 |
| Practice Fax Number | 8028770012 |
| Mailing Telephone | 8022225201 |
| Mailing Fax Number | 8028770012 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 101.0108269 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
101.0108269 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1104145069 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 655 Main St Ste 2, Bennington, VT 052012871 | 8339520829 |
| Street Address |
1 ALDEN PL |
| City | VERGENNES |
| State | VT |
| Zip Code | 05491-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376663 | Marina M Ecklund | Nurse Practitioner | 1 Alden Pl, Vergennes, VT 05491-1102 | 2019-10-07 |
| 1992362271 | Oas, LLC | Substance Abuse Rehabilitation Facility | 1 Alden Pl, Vergennes, VT 05491-1102 | 2019-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699760 | Elizabeth Ann Grant | Registered Nurse | 1218 Rte 17e, Enter Your Mailing Addres, Addison, VT 05491 | 2019-09-26 |
| 1073988812 | Anna Becker | Physical Therapy Assistant | 1355 Route 22a, Panton, VT 05491 | 2015-12-04 |
| 1437309564 | Heather Brown Kidde | Advanced Practice Midwife | 20 Armory Lane, Vergennes, VT 05491 | 2008-09-25 |
| 1497833495 | Gregory C Maurer Dds PC | Dentist | 46 New Haven Road, Vergennes, VT 05491 | 2006-11-01 |
| 1053428235 | Kph Healthcare Services, Inc. | Pharmacy | 115b Monkton Rd, Vergennes, VT 05491 | 2006-08-24 |
| 1255357265 | Robert Joel Frank | Dentist | 23 South Water Street, Vergennes, VT 05491 | 2006-07-14 |
| 1750346326 | Donald Bruce Robinson | Family Medicine | 10 North Street, Little City Family Practice, Vergennes, VT 05491 | 2006-04-18 |
| 1114269503 | Catherine Anne Ayers | Family Medicine | 10 North St, Vergennes, VT 05491 | 2013-03-23 |
| 1063643518 | Jennifer Sandra Kaufman | Family Medicine | 10 North Street, Lcfp, Vergennes, VT 05491 | 2009-07-31 |
| 1609018621 | Karen L Fromhold | General Practice | 10 North St, Vergennes, VT 05491 | 2009-04-06 |
| Find all providers in zip 05491 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376663 | Marina M Ecklund | Nurse Practitioner | 1 Alden Pl, Vergennes, VT 05491-1102 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842772 | Catherine Hall | Nurse Practitioner | 264 Quarry Hill Rd Apt 305, South Burlington, VT 05403-6362 | 2020-08-17 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1962906552 | Caroline Mcgarr Butler | Nurse Practitioner | 368 River St Ste 160, Springfield, VT 05156-2242 | 2018-03-20 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1487173860 | Kameron Escajeda | Nurse Practitioner | 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 | 2017-09-16 |
| 1467976381 | Richard William Gallagher | Nurse Practitioner | Enosburg Health Center, 382 Main Street, Enosburg Falls, VT 05450 | 2017-08-02 |
| 1336469337 | Jessica L Macleod | Nurse Practitioner | 142 Woodridge Drive, Berlin, VT 05602-9516 | 2010-06-02 |
| 1053559286 | Sandra Jean Palmer | Nurse Practitioner | 2032 Roosevelt Hwy, Box 283, Colchester, VT 05446-7233 | 2009-01-26 |
| 1790936615 | Deborah L Norton | Nurse Practitioner | 185 Tilley Drive, South Burlington, VT 05403 | 2008-10-09 |
| 1457524357 | Bonnie L Johnson | Nurse Practitioner | 12 Commons St Ste 1, Rutland, VT 05701-4651 | 2008-04-11 |
| Find all providers with the same taxonomy | ||||
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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.