SHANNON STOLL (NPI# 1194220483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194220483 |
| Entity Type | Individual |
| Full Name | SHANNON STOLL |
| Practice Address |
700 Airport Rd Lakewood NJ 08701-5907 |
| Mailing Address |
508 Eagle Point Dr Toms River NJ 08753-3354 |
| Practice Telephone | 7324581700 |
| Mailing Telephone | 7323303920 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00814100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ STATE BOARD OF NURSING | 26NJ00814100 | 01 |
| Street Address |
700 AIRPORT RD |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407839418 | Surinderjeet Singh Sandhu | Psychiatry & Neurology | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2005-11-22 |
| 1669071353 | Casie Jean Bennett | Social Worker | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2020-10-22 |
| 1902412372 | Samantha Sininsky | Social Worker | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2020-09-21 |
| 1912512518 | Toby Arnold | Social Worker | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2020-09-10 |
| 1376160622 | Alissa Rivera | Counselor | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2020-07-02 |
| 1518507169 | Marlena Hood | Counselor | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2020-01-12 |
| 1316585805 | Lauren Garvey | Counselor | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2019-12-15 |
| 1356985568 | Elizabeth Sutton | Social Worker | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2019-10-30 |
| 1235771908 | Kayla Alexis Brinster | Social Worker | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2019-10-14 |
| 1922656305 | Tonya Diana Bailey | Licensed Vocational Nurse | 700 Airport Rd, Lakewood, NJ 08701-5907 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720289 | Robin Jean Mills | Nurse Practitioner | 2162 Lewis Dr, Lakewood, OH 44107-6141 | 2020-08-12 |
| 1720646771 | Se Won Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2019-06-04 |
| 1790245736 | Therese Jean Calabrese | Nurse Practitioner | 7525 W 10th Ave # 100, Lakewood, CO 80214-4493 | 2019-03-25 |
| 1760966139 | Michelle Lea Bajema | Nurse Practitioner | 6212 75th St W # 1, Lakewood, WA 98499-8368 | 2018-09-20 |
| 1881097707 | Marjory Strawn | Nurse Practitioner | 7114 W Jefferson Ave Ste 306, Lakewood, CO 80235-2354 | 2014-10-06 |
| 1992077630 | Tzivya Kownat | Nurse Practitioner | 23 Kedma Dr, Lakewood, NJ 08701-3599 | 2012-01-26 |
| 1033118344 | Erin Alane Jacobson | Nurse Practitioner | 6212 75th St W, Lakewood, WA 98499-8368 | 2005-07-19 |
| 1780299495 | Rachel E King | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-09-10 |
| 1073135505 | Se Hee Min | Nurse Practitioner | 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 | 2020-05-06 |
| 1255964268 | Casey Brown | Nurse Practitioner | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2020-02-18 |
| Find all providers in LAKEWOOD | ||||
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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.