ELIZABETH C SHANNON (NPI# 1164679080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164679080 |
| Entity Type | Individual |
| Full Name | ELIZABETH C SHANNON |
| Practice Address |
6021 Statefarm Rd Guilderland NY 12084 |
| Mailing Address |
226 N Ballston Ave Scotia NY 12302-2543 |
| Practice Telephone | 5184566525 |
| Mailing Telephone | 5183702252 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
196924 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073042750 | Elizabeth Shannon | Physician Assistant | Fort Bragg, 3bct Bsb 82nd Airborne Division, Apo, AA 28307 | 2017-06-07 |
| 1578931762 | Elizabeth Shannon | Nurse Practitioner | 601 Elmwood Ave, Box Psych, Rochester, NY 14642-0001 | 2015-09-04 |
| 1861418659 | Elizabeth G Shannon | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-07-14 |
| Street Address |
6021 STATEFARM RD |
| City | GUILDERLAND |
| State | NY |
| Zip Code | 12084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851548937 | Gail F Mahar | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1689829061 | Usman R Khan | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-11-26 |
| 1518115807 | Carolyn A Starkes | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-29 |
| 1427206713 | Rosanne Mary Ferguson | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-29 |
| 1245487917 | Michael W Griggs | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-25 |
| 1508013277 | Elaine J Kincaid | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-25 |
| 1790932762 | Bethany N Marletta | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1740437771 | Joyce L Swanston | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1912154949 | Jill M Welch | Licensed Practical Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1639326606 | Laurie L Bortscheller | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869788 | Yinna Wang | Specialist/Technologist, Other | 91 Kennsington Court, H, Guilderland, NY 12084 | 2017-09-06 |
| 1265837819 | Marybeth Musco | Counselor | 280 Western Avenue, Karner Psychological Associates, Guilderland, NY 12084 | 2014-10-24 |
| 1215336862 | Alicia Mahler | Psychologist | 2568 Western Ave, Suite 203, Guilderland, NY 12084 | 2014-08-20 |
| 1710134804 | Rosemary C Pannone | Licensed Practical Nurse | 6021 Sttefarm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1801043807 | Santiago Rodriguez | Licensed Practical Nurse | 6021 State Farm Rd, Guilderland, NY 12084 | 2008-08-20 |
| 1023295565 | Angela Jean Laventure | Licensed Practical Nurse | 6270 Foundry Road, Guilderland, NY 12084 | 2008-01-28 |
| 1174673586 | Arthur Demoree | Physical Therapist | 2563 Western Avenue, Guilderland, NY 12084 | 2007-01-11 |
| 1235208927 | Wheelers Accessible Vans Inc. | Non-emergency Medical Transport (VAN) | 2316a Western Ave, Guilderland, NY 12084 | 2006-11-07 |
| 1023123916 | Margaret Loretta Greenwood | Nurse Practitioner | 3 Mercycare Lane, Guilderland, NY 12084 | 2006-08-20 |
| 1043249014 | Alison E Molea-lavigne | Social Worker | 1 Pinnacle Place, Suite 202, Albany, NY 12084 | 2006-07-02 |
| Find all providers in zip 12084 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508013277 | Elaine J Kincaid | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-25 |
| 1790932762 | Bethany N Marletta | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1639326606 | Laurie L Bortscheller | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1710134622 | Kristen M Lankenau | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1972750891 | Esther J Karp | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1427205350 | Irene Vance | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1336396266 | Christine E Rouse | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1063669992 | Megan M Fields | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1275780249 | Julie M Grenier | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| 1679720593 | Roy A Odell | Registered Nurse | 6021 Statefarm Rd, Guilderland, NY 12084 | 2008-08-21 |
| Find all providers in GUILDERLAND | ||||
| City | GUILDERLAND |
| Zip Code | 12084 |
Please comment or provide details below to improve the information on ELIZABETH C SHANNON.
| 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.