SHANNON JAROT (NPI# 1194069633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194069633 |
Entity Type | Individual |
Full Name | SHANNON JAROT |
Credential | APN, FNP-BC |
Practice Address |
271 N Main St Seneca IL 61360-9323 |
Practice Telephone | 8153578511 |
Practice Fax Number | 8153571238 |
Mailing Telephone | 8153578511 |
Mailing Fax Number | 8153571238 |
Enumeration Date | 2012-11-21 |
Last Update Date | 2015-10-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
041275576 | IL | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.011554 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
271 N MAIN ST |
City | SENECA |
State | IL |
Zip Code | 61360-9323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023129897 | Colin Edwin Kao | Family Medicine | 271 N Main St, Seneca, IL 61360-9323 | 2006-08-31 |
1497286645 | Nina Renee Seplak | Nurse Practitioner | 271 N Main St, Seneca, IL 61360-9323 | 2017-03-21 |
1023337482 | Christina Dolack LLC | Internal Medicine | 271 N Main St, Seneca, IL 61360-9323 | 2010-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508260308 | Melissa Brungard | Specialist/Technologist | 364 Seneca Place, Seneca, IL 61360 | 2014-10-22 |
1073783775 | Guardian Business Group | Durable Medical Equipment & Medical Supplies | 3742 E 29th Rd, Seneca, IL 61360 | 2008-03-10 |
1992974885 | Seneca Twp Hs Dist 160 | Local Education Agency (LEA) | 307 E. Scott Street, Seneca, IL 61360 | 2008-02-25 |
1912125097 | Riverside Chiropractic Center of Seneca,ltd. | Chiropractor | 260 So Main St., Seneca Il, IL 61360 | 2007-04-23 |
1619989241 | Sean Fitzpatrick Gibbs | Chiropractor | 260 So. Main St., Seneca, IL 61360 | 2006-08-12 |
1508463290 | Abigail Elaine Haas | Massage Therapist | 260 S Main St, Seneca, IL 61360 | 2020-10-06 |
1154451466 | Jessica Lynn Berkland | Massage Therapist | 260 So. Main St., Seneca Il, IL 61360 | 2007-03-06 |
1245367994 | Knd Health Care Services Sc | Pharmacy | 260 B S Main Srteet, Seneca, IL 61360-0440 | 2007-02-28 |
1568599116 | Knd Health Care Services | Pharmacy | 260 A South Main Street, Seneca, IL 61360-0440 | 2007-02-28 |
1184781619 | Chan Hyun Kim | Acupuncturist | 650 E Thousand Oaks Blvd, Thousand Oaks, CA 61360-6009 | 2007-01-03 |
Find all providers in zip 61360 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770100463 | Elizabeth Louise Philmon | Nurse Practitioner | 111 Carter Park Dr # A, Seneca, SC 29678-1152 | 2020-06-29 |
1073150827 | Melissa Leigh Merritt | Nurse Practitioner | 112 Surgical Blvd Ste A, Seneca, SC 29672-6654 | 2019-11-27 |
1417501479 | Victoria G Schiazza | Nurse Practitioner | 109 Carter Park Dr Ste 3a, Seneca, SC 29678-1152 | 2019-07-29 |
1033682273 | Ruthy Mclaughlin | Nurse Practitioner | 3292 Pa-257, Seneca, PA 16346 | 2019-01-10 |
1225543242 | Ronande Berryl Creebsburg | Nurse Practitioner | 1510 Blue Ridge Blvd Ste 105, Seneca, SC 29672-6684 | 2017-12-13 |
1538550082 | Mark Anthony Hendricks | Nurse Practitioner | 772 N Townville St, Seneca, SC 29678-2645 | 2015-02-05 |
1003243056 | Ruth Anne Etter | Nurse Practitioner | 366 Market St, Seneca, SC 29678-0926 | 2013-10-06 |
1669804647 | Elmer Gerald Brown Jr. | Nurse Practitioner | 109 Carter Park Dr Ste 3-a, Seneca, SC 29678-1152 | 2013-08-01 |
1639433287 | Tawny Jenna Mcintosh | Nurse Practitioner | 15545 Wells Hwy, Seneca, SC 29678-1664 | 2012-06-28 |
1619947975 | Lisa B Purcell | Nurse Practitioner | 135 Professional Park Drive, Suite B, Seneca, SC 29678-2558 | 2006-01-26 |
Find all providers in SENECA |
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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.