MS. SHANNON MARIE LUTHER (NPI# 1205307261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205307261 |
| Entity Type | Individual |
| Full Name | MS. SHANNON MARIE LUTHER |
| Credential | ACNPC-AG |
| Practice Address |
627 Eastland Ave Se Warren OH 44484-4501 |
| Practice Telephone | 3308414000 |
| Mailing Telephone | 3308414000 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.023809 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
627 EASTLAND AVE SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039447 | Steven Lee Ballas | Internal Medicine | 627 Eastland Ave Se, Ste 301, Warren, OH 44484-4501 | 2005-10-31 |
| 1831664218 | Matthew Gatchel | Pharmacist | 627 Eastland Ave Se, Warren, OH 44484-4501 | 2018-10-11 |
| 1336456391 | Benjamin Ryan Biteman | Surgery | 627 Eastland Ave Se, Ste 302, Warren, OH 44484-4501 | 2010-09-10 |
| 1699901967 | Healthtronix Lymphedema Management, Inc. | Durable Medical Equipment & Medical Supplies | 627 Eastland Ave Se, Suite 203, Warren, OH 44484-4501 | 2009-06-01 |
| 1952479099 | Maria Rizer | Registered Nurse | 627 Eastland Ave Se, Suite 301, Warren, OH 44484-4501 | 2006-11-30 |
| 1659351617 | Robert W. Woodruff Jr. | Surgery | 627 Eastland Ave Se, Suite 302, Warren, OH 44484-4501 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083261911 | Megan C Mccarthy | Nurse Practitioner | 18 Pinewood Ln, Warren, NJ 07059-6861 | 2019-08-26 |
| 1205187275 | Wan-ju Wu | Nurse Practitioner | 14359 E 12 Mile Rd Apt C, Warren, MI 48088-3854 | 2012-09-30 |
| 1114256302 | Michele Dawn Mcmahon | Nurse Practitioner | 32060 Linderman Ave, Warren, MI 48093-1048 | 2009-12-17 |
| 1023653797 | Lauren Ashley Shailor | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-11-16 |
| 1720646375 | Patrick Kennedy | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-05-30 |
| 1619492774 | Jeffrey L. Kaiser | Nurse Practitioner | 1350 E Market St, Warren, OH 44483-6608 | 2017-08-10 |
| 1205234341 | Heather Mason | Nurse Practitioner | 1350 E Market St, Warren, OH 44483-6608 | 2014-12-05 |
| 1598012767 | Laurie A Merkel | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2012-08-07 |
| 1811219140 | Ethel Balaoing Howell | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2010-03-01 |
| 1578885687 | Benjamin Doppelt | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2010-02-17 |
| Find all providers in WARREN | ||||
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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.