PAMELA SHALLOWAY (NPI# 1154731487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154731487 |
| Entity Type | Individual |
| Full Name | PAMELA SHALLOWAY |
| Credential | RN, CRNP |
| Practice Address |
6123 Montrose Rd Rockville MD 20852-4860 |
| Practice Telephone | 3018162676 |
| Practice Fax Number | 3018162628 |
| Mailing Telephone | 3018162676 |
| Mailing Fax Number | 3018162628 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN60369 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R117774 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | R117774 | 01 |
| DC | LICENSE | RN60369 | 01 |
| Street Address |
6123 MONTROSE RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225060924 | Risa Segal | Social Worker | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2006-07-06 |
| 1790344588 | Alexandra A Lee | Social Worker | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2019-06-06 |
| 1376021105 | Leslie Susan Moses | Registered Nurse | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2018-08-03 |
| 1497125793 | Andrea Massar | Social Worker | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2015-09-29 |
| 1629470513 | Jewish Social Service Agency | Community/Behavioral Health | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2014-09-23 |
| 1205111895 | Holly Beth Segal | Social Worker | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2011-10-15 |
| 1356646798 | Renee C. Delacroix | Social Worker | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2011-01-17 |
| 1356525497 | Peter Michael Levine | Psychiatry & Neurology | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2007-12-26 |
| 1154512440 | Jewish Social Service Agency | Hospice Care, Community Based | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2007-08-05 |
| 1326247461 | Suzanne Michelle Rosloff | Social Worker | 6123 Montrose Rd, Rockville, MD 20852-4860 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776335 | Betty Lou Meier-forbes | Nurse Practitioner | 811 50 N, Rockville, IN 47872 | 2020-03-27 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1881155901 | Princess Stephenson | Nurse Practitioner | 15200 Shady Grove Rd Ste 320, Rockville, MD 20850-3218 | 2019-03-29 |
| 1609337252 | Esther Vinolia Koilpillai | Nurse Practitioner | 15225 Shady Grove Rd Ste 304, Rockville, MD 20850-3256 | 2019-03-27 |
| 1790242493 | Annette M Jamison | Nurse Practitioner | 50 W Gude Dr Ste 46b, Rockville, MD 20850-1150 | 2019-02-28 |
| 1548727811 | Erica Michelle Moreland | Nurse Practitioner | 10110 Molecular Dr Ste 114, Rockville, MD 20850-7538 | 2019-02-22 |
| 1114405537 | Baekcheol Lee | Nurse Practitioner | 15200 Shady Grove Rd Ste 108, Rockville, MD 20850-3218 | 2018-07-30 |
| 1568956530 | Insun Choi Mandlebaum | Nurse Practitioner | 12253 Tildenwood Dr, Rockville, MD 20852-4161 | 2018-06-21 |
| 1366945016 | Hannah Hyekyung Lee | Nurse Practitioner | 2401 Research Blvd Ste 330, Rockville, MD 20850-6255 | 2018-03-08 |
| 1982119376 | Oyebisi Ifeoluwa-eniola Olanrewaju | Nurse Practitioner | 14804 Physicians Ln Ste 121, Rockville, MD 20850-3912 | 2017-12-06 |
| Find all providers in ROCKVILLE | ||||
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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.