KATHLEEN B SHAUGHNESSY (NPI# 1114381563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114381563 |
| Entity Type | Individual |
| Full Name | KATHLEEN B SHAUGHNESSY |
| Credential | CPNP |
| Practice Address |
9580 Watson Rd Ste A Saint Louis MO 63126-1539 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 3149655437 |
| Practice Fax Number | 3149655439 |
| Mailing Telephone | 3149655437 |
| Mailing Fax Number | 3149655439 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2015037591 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002796 | Kathleen Shaughnessy | Counselor | 395 S Center St, Orange, NJ 07050-3205 | 2020-01-16 |
| 1952968042 | Kathleen Marie Shaughnessy | Physical Therapist | 200 Patewood Dr Ste C150, Greenville, SC 29615-6323 | 2019-05-23 |
| 1649564907 | Kathleen Shaughnessy | Pharmacist | 605 Boston Post Rd E, T-2570, Marlborough, MA 01752-3702 | 2011-06-04 |
| 1245258276 | Kathleen Shaughnessy | Nurse Practitioner | 1200 Old York Rd, 5 Toll, Abington, PA 19001-3720 | 2006-07-17 |
| 1861446783 | Kathleen A Shaughnessy | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-22 |
| Street Address |
9580 WATSON RD STE A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63126-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
| 1497913347 | Bradley Keith Pugh | Audiologist | 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 | 2008-05-28 |
| 1780707034 | William Anthony Taylor Sr. | Dentist | 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 | 2007-04-09 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1841347341 | Teralandur K. Parthasarathy | Audiologist | #30 Ronnie's Plaza, St. Louis, MO 63126 | 2007-01-05 |
| 1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
| 1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1386753184 | Cynthia Diane Newell | Social Worker | Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
| Find all providers in zip 63126 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
| 1780007963 | Michelle Marie Dupont | Nurse Practitioner | 1465 South Grand Boulevard, Saint Louis, MO 63104 | 2014-01-24 |
| 1083924468 | Carrie Anne Thrasher | Nurse Practitioner | 3915 Watson Rd Ste 202, Saint Louis, MO 63109-1251 | 2010-10-19 |
| 1265768576 | Cheryl L Grave | Nurse Practitioner | 607 S New Ballas Rd Ste 2415, Saint Louis, MO 63141-8234 | 2009-10-20 |
| 1467639781 | Dana Joann Aronin | Nurse Practitioner | 77 Progress Parkway, Biomedical Systems, Saint Louis, MO 63110-1002 | 2008-01-29 |
| 1265643282 | Dawn Lee Garzon | Nurse Practitioner | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2007-05-24 |
| 1548473879 | Jennifer A Grimmer | Nurse Practitioner | 12360 Manchester Rd, Ste 100, Saint Louis, MO 63131-4302 | 2007-05-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63126 |
Please comment or provide details below to improve the information on KATHLEEN B SHAUGHNESSY.
| 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.