SHAUNA ELIZABETH POE-AMES (NPI# 1124096193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124096193 |
Entity Type | Individual |
Full Name | SHAUNA ELIZABETH POE-AMES |
Other Name | SHAUNA E POE |
Credential | FNP-BC |
Practice Address |
1214 E National Ave Ste 90a Brazil IN 47834 |
Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
Practice Telephone | 8124422900 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2018-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 71001969A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001969A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200531680 | 05 |
Street Address |
1214 E NATIONAL AVE STE 90A |
City | BRAZIL |
State | IN |
Zip Code | 47834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467921833 | Paul Matt Boland | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834 | 2018-11-15 |
1013362672 | Lori Jean Wiley | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834-2746 | 2016-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
1770778102 | Fcp, Inc. | Clinic/Center | 11295 Ncr 300w, Brazil, IN 47834 | 2007-09-10 |
1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
1275635534 | Nilah Nicole Bonham | Optometrist | 325 W National Avenue, Brazil, IN 47834 | 2006-09-05 |
1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
Find all providers in zip 47834 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467921833 | Paul Matt Boland | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834 | 2018-11-15 |
1740760784 | Kaitlyn Nevill | Nurse Practitioner | 1214 E National Ave Ste 100, Brazil, IN 47834-2700 | 2018-08-20 |
1770062440 | Karen Nelson | Nurse Practitioner | 1214 E National Ave Ste 100, Brazil, IN 47834-2700 | 2018-08-13 |
1013362672 | Lori Jean Wiley | Nurse Practitioner | 1214 E National Ave Ste 90a, Brazil, IN 47834-2746 | 2016-05-02 |
1487813085 | Penelope Fay Callaway | Nurse Practitioner | 1214 E National Ave Ste 100, Brazil, IN 47834-2700 | 2008-06-09 |
1619967098 | Elizabeth Ann Hines | Nurse Practitioner | 115 S Murphy Ave, Suite A, Brazil, IN 47834-8296 | 2005-10-26 |
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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.