SHANNON ETHRIDGE (NPI# 1205433943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205433943 |
| Entity Type | Individual |
| Full Name | SHANNON ETHRIDGE |
| Practice Address |
3006 Ribault Scenic Dr Jacksonville FL 32208-2477 |
| Practice Telephone | 9045541696 |
| Mailing Telephone | 9045541696 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 163236 | FL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033527254 | Shannon Slocumb Ethridge | Nurse Practitioner | 555 Bluebird Blvd, Fort Valley, GA 31030-5083 | 2014-07-31 |
| Street Address |
3006 RIBAULT SCENIC DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013647 | Tia Patterson | Nurse's Aide | 9415 Devonshire Blvd, Jacksonville, FL 32208-7002 | 2020-11-02 |
| 1497366488 | Christina L Roberts | Nurse's Aide | 6028 Chester Ave Ste 206d, Jacksonville, FL 32217-2285 | 2020-08-12 |
| 1174133052 | Taylor K Wallace | Nurse's Aide | 13525 Bartram Park Blvd Unit 1538, Jacksonville, FL 32258-5271 | 2020-08-05 |
| 1861001745 | Jessica Michelle Mccree Braddy | Nurse's Aide | 8942 8th Ave, Jacksonville, FL 32208-2142 | 2020-07-28 |
| 1124636154 | Tamra Coffee Mikell | Nurse's Aide | 2875 Tate Ct, Jacksonville, FL 32218-8873 | 2020-07-15 |
| 1063033793 | Toilicia Danielle Sylvia Walker | Nurse's Aide | 239 E 43rd St, Jacksonville, FL 32208-5306 | 2020-05-05 |
| 1396366753 | Angel Taylor | Nurse's Aide | 6316 Solandra Dr, Jacksonville, FL 32210-7208 | 2020-04-27 |
| 1124647672 | Lapatra Fisher | Nurse's Aide | 7452 John F Kennedy Dr W, Jacksonville, FL 32219-3516 | 2020-04-15 |
| 1013541531 | Monica Mccutchen | Nurse's Aide | 5556 Ashleigh Park Dr, Jacksonville, FL 32244-7832 | 2020-02-24 |
| 1063045094 | Odoms Tlc Homecare Service | Nurse's Aide | 1600 Lansdowne Dr Apt 609, Jacksonville, FL 32211-9010 | 2020-02-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
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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.