MRS. SHANNA MICHELE AUTREY (NPI# 1164405791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164405791 |
| Entity Type | Individual |
| Full Name | MRS. SHANNA MICHELE AUTREY |
| Credential | PA-C |
| Practice Address |
160 Undercliff Ter Princeton WV 24740-2174 |
| Practice Telephone | 3044313010 |
| Practice Fax Number | 3044313011 |
| Mailing Telephone | 3044313010 |
| Mailing Fax Number | 3044313011 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 566 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
160 UNDERCLIFF TER |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713446 | Deborah Nolley | Psychologist | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2005-10-11 |
| 1972713121 | Chrysalis Inc | Counselor | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2007-05-23 |
| 1669696589 | New Hope Psychiatric Associates, PC | Clinic/Center | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2007-04-12 |
| 1043396385 | Twyla Mcguire Hersman | Counselor | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2006-10-30 |
| 1265415731 | John Carr Terry | Psychologist | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464724 | Shraddha S Patel | Physician Assistant | 29 Goldstar Dr, Princeton, NJ 08540-8578 | 2020-03-30 |
| 1538702154 | Sahara Stanley | Physician Assistant | 104 Mahood Ave, Princeton, WV 24740-2617 | 2019-10-27 |
| 1205210853 | Homer K Lester | Physician Assistant | 112 12th St, Princeton, WV 24740-2312 | 2015-07-14 |
| 1285039420 | Deaconess Clinic, Inc. | Physician Assistant | 1414 W Broadway St, Princeton, IN 47670-1142 | 2014-10-30 |
| 1154738839 | Brittany Hope Jewell | Physician Assistant | 508 New Hope Rd Ste 102, Princeton, WV 24740-2265 | 2014-07-15 |
| 1861638561 | Adeyemi Babatunde Williams | Physician Assistant | 60 Hoover Ave, Princeton, NJ 08540-4639 | 2008-12-30 |
| 1184793556 | Joseph Harold Thornton | Physician Assistant | Princeton University Health, Mccosh Health Center, Princeton, NJ 08544-0001 | 2006-11-07 |
| 1104919828 | Leah D Petrunger | Physician Assistant | 150 Misty Lane, Princeton, WV 24740 | 2006-10-02 |
| 1437756350 | Olivia N Dudley | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2020-10-04 |
| 1952919417 | Madelyn L Schwartz | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2020-07-21 |
| Find all providers in PRINCETON | ||||
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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.