MRS. SHANNON M MARSH (NPI# 1114339389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114339389 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON M MARSH |
| Credential | APRN |
| Practice Address |
176 1st Ave N Po Box N Ilwaco WA 98624-9137 |
| Mailing Address |
Po Box 877 Ilwaco WA 98624-0877 |
| Practice Telephone | 3606423747 |
| Practice Fax Number | 3606423361 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
AP60562578 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417236878 | Shannon Margaret Marsh | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2011-08-16 |
| Street Address |
176 1ST AVE N PO BOX N |
| City | ILWACO |
| State | WA |
| Zip Code | 98624-9137 |
| 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 |
| 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 |
| 1083601264 | Shirley M Pryor | Nurse Practitioner | 176 1st Ave N, Po Drawer N, Ilwaco, WA 98624 | 2005-10-03 |
| 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 | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720521800 | Hee Jeong Kim | Clinical Nurse Specialist | 22618 Highway 99, Ste 106, Edmonds, WA 98026-8395 | 2016-11-22 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1841476512 | John None Joseph | Clinical Nurse Specialist | 909 Georgiana St, Port Angeles, WA 98362-3911 | 2008-01-12 |
| 1700077401 | Snoqualmie Tribe Health Services | Clinical Nurse Specialist | 8130 Railroad Avenue, Snoqualmie, WA 98065 | 2007-08-07 |
| 1740480896 | Iona M Parker | Clinical Nurse Specialist | 1105 Union Ave, Steilacoom, WA 98388-3011 | 2007-07-18 |
| 1831147313 | Leslie L Halvorson | Clinical Nurse Specialist | 1300 Goldie Road, Oakharbor, WA 98277 | 2006-05-05 |
| 1629320106 | Tehea Kae Elsethagen | Clinical Nurse Specialist | 10121 W Clearwater Ave, Suite 102, Kennewick, WA 99336-3500 | 2012-10-09 |
| 1619232287 | Murphy Family, Sports, and Wellness | Clinical Nurse Specialist | 4905 108th St Sw, Lakewood, WA 98499-3724 | 2012-07-10 |
| 1548535255 | Praxis-health, Pllc | Clinical Nurse Specialist | 1546 Reservation Rd Se, Olympia, WA 98513-9415 | 2012-03-13 |
| 1073881397 | Teri L Walker | Clinical Nurse Specialist | 2960 Limited Ln Nw, Olympia, WA 98502-4541 | 2011-12-01 |
| 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.