SHANNON STEFAN ROBERTSON (NPI# 1184197543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184197543 |
| Entity Type | Individual |
| Full Name | SHANNON STEFAN ROBERTSON |
| Other Name | SHANNON LYNN STEFAN |
| Credential | CRNP |
| Practice Address |
2719 Brodhead Rd Ste 190 Aliquippa PA 15001-2793 |
| Mailing Address |
140 Woodbine Dr Cranberry Township PA 16066-3212 |
| Practice Telephone | 7244199200 |
| Practice Fax Number | 7244199202 |
| Mailing Telephone | 7245136292 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP019793 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968758 | Shannon Robertson | Dietitian, Registered | 1800 Baronne St Apt 204, New Orleans, LA 70113-1582 | 2019-12-03 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1205265295 | Shannon Horton Robertson | Registered Nurse | 16412 London Ave, Baton Rouge, LA 70819-1821 | 2013-11-11 |
| 1942590146 | Shannon Yvette Robertson | Counselor | 1474 Newbury St, Georgetown, TX 78626-7617 | 2011-04-10 |
| 1144483736 | Shannon Cody Robertson | Counselor | 10 Lee Road 546, Smiths, AL 36877-4624 | 2008-07-03 |
| 1124683156 | Shannon Jenine Robertson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2019-05-06 |
| 1962995795 | Shannon Lee Robertson | Counselor | 815 Buena Vista Ave W, San Francisco, CA 94117-4108 | 2018-06-06 |
| 1982995643 | Shannon Robertson | Chiropractor | 1413 Charnelton St, Eugene, OR 97401-3906 | 2011-04-28 |
| 1134299563 | Shannon Faye Robertson | Case Manager/Care Coordinator | Rr 1, Box 35d, Boley, OK 74829 | 2006-11-09 |
| Street Address |
2719 BRODHEAD RD STE 190 |
| City | ALIQUIPPA |
| State | PA |
| Zip Code | 15001-2793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236204 | Andrea Ashley Davis | Nurse Practitioner | 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 | 2020-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325150 | Sebreena Lynn Owens | Home Health Aide | 1705 Davidson Street, Aliquippa, PA 15001 | 2019-03-13 |
| 1215457213 | Christin Bryan | Physical Therapist | 206 Marble Street, Aliquippa, PA 15001 | 2017-06-21 |
| 1033568738 | Opioid Addiction Recovery Services | Clinic/Center | 2360 Hospital Dr Lower Level, Aliquippa, PA 15001 | 2016-06-03 |
| 1053792804 | Dana Cleary | Behavioral Analyst | 150 Pleasant Drive, Aliquippa, PA 15001 | 2015-06-17 |
| 1598188492 | Excel Pain Consultants LLC | Pain Medicine | 1 Hospital Dr Ste 103, Aliquippa, PA 15001 | 2014-01-28 |
| 1831361229 | Unis Dental Associates | Dentist | 2072 Broadhead Road, Aliquippa, PA 15001 | 2008-03-26 |
| 1649463951 | Lara Porter Trushel | Physician Assistant | 3113 Green Garden Rd, Aliquippa, PA 15001 | 2007-08-20 |
| 1134340128 | Kelly Gaguzis | Occupational Therapist | 170 Maplehurst Drive, Aliquippa, PA 15001 | 2007-05-01 |
| 1083777270 | James Vito Barbuto | Dentist | 2496 Brodhead Road, Ste D, Aliquippa, PA 15001 | 2006-12-18 |
| 1285645416 | Giant Eagle Inc | Pharmacy | Green Garden Plaza, Aliquippa, PA 15001 | 2006-08-11 |
| Find all providers in zip 15001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752488 | Katie Beth Manni | Nurse Practitioner | 188 Edgewood St, Aliquippa, PA 15001-1814 | 2020-02-14 |
| 1134727712 | Carla Denne Tomas | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2020-10-15 |
| 1982236204 | Andrea Ashley Davis | Nurse Practitioner | 2719 Brodhead Rd Ste 190, Aliquippa, PA 15001-2793 | 2020-02-05 |
| 1962049254 | Chelsea Rae Plakosh | Nurse Practitioner | 2299 Brodhead Rd, Aliquippa, PA 15001-4674 | 2019-12-05 |
| 1588210751 | Kimberly Gregg | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2019-08-14 |
| 1528570637 | Julia M Jackson | Nurse Practitioner | 2349 Mill St, Aliquippa, PA 15001-2219 | 2017-10-30 |
| 1497208847 | Marilyn Patricia Larue | Nurse Practitioner | 2360 Hospital Dr, Aliquippa, PA 15001-2160 | 2016-08-02 |
| 1841666260 | Kristin Marie Clayton | Nurse Practitioner | 131 Pleasant Dr, Aliquippa, PA 15001-1384 | 2015-08-19 |
| 1710312350 | Lindsey Chappel | Nurse Practitioner | 99 Autumn St, Aliquippa, PA 15001-1301 | 2013-09-12 |
| 1336487545 | Mary Ann Kopec | Nurse Practitioner | 99 Autumn St, Aliquippa, PA 15001-1301 | 2013-01-23 |
| Find all providers in ALIQUIPPA | ||||
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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.