SHANNON LYNN RENITSKY (NPI# 1215359708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215359708 |
| Entity Type | Individual |
| Full Name | SHANNON LYNN RENITSKY |
| Other Name | SHANNON LYNN BROWN |
| Credential | APN |
| Practice Address |
2 Capital Way Suite 356 Pennington NJ 08534-2521 |
| Mailing Address |
2 Capital Way Ste 356 Pennington NJ 08534-2521 |
| Practice Telephone | 6095376000 |
| Practice Fax Number | 6095376002 |
| Mailing Telephone | 6095376000 |
| Mailing Fax Number | 6095376002 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011347 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0409715 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Capital Way, Suite 356, Pennington, NJ 085342521 | 6095376000 |
| Street Address |
2 CAPITAL WAY SUITE 356 |
| City | PENNINGTON |
| State | NJ |
| Zip Code | 08534-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246725 | Victoria Morey Petty | Obstetrics & Gynecology | 2 Capital Way, Suite 356, Pennington, NJ 08534-2521 | 2005-06-22 |
| 1972154110 | Janine Santora | Nurse Practitioner | 2 Capital Way, Pennington, NJ 08534-2521 | 2019-09-27 |
| 1851825400 | Nathanael Elijah Smith | Registered Nurse | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2017-04-19 |
| 1386003580 | Epilepsy & Neurophysiology Medical Consultants, Pa | Psychologist | 2 Capital Way, 3rd Floor, Suite 385, Pennington, NJ 08534-2521 | 2016-02-16 |
| 1033505748 | Victoria E Pena-cardinali | Social Worker | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2015-04-09 |
| 1447646153 | Sarah Moore | Social Worker | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2015-04-09 |
| 1093145591 | We Care Md PC | Non-Pharmacy Dispensing Site | 2 Capital Way, Suite 359, Pennington, NJ 08534-2521 | 2013-11-19 |
| 1043651110 | Capital Health Center for Liver Disease | Internal Medicine | 2 Capital Way, Suite 380, Pennington, NJ 08534-2521 | 2013-07-17 |
| 1184063919 | Mercer Bucks Endocrinology PC | Internal Medicine | 2 Capital Way, Suite 315, Pennington, NJ 08534-2521 | 2013-06-14 |
| 1760732929 | Wendi Lynne Rank | Nurse Practitioner | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2012-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1033751904 | Theresa Marie Archer | Registered Nurse | 108 Straube Center Blvd Suite I-17, Pennington, NJ 08534 | 2019-10-12 |
| 1295216059 | Confidentialistener LLC | Psychologist | 106 Straube Ctr Blvd Ste F112, Pennington, NJ 08534 | 2018-08-28 |
| 1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
| 1942711650 | Robert Vincent Simone | Social Worker | 65 South Main Street, Bldg. B Suite B-103, Pennington, NJ 08534 | 2017-10-20 |
| 1568980266 | Oaks Integrated Care | Clinic/Center | 720 Heritage Ct, Pennington, NJ 08534 | 2017-09-01 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1891220174 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1124553409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1215486147 | Janine Disanti | Optometrist | Two Capital Way, Suite 326, Matossian Eye Associates, Pennington, NJ 08534 | 2016-10-04 |
| Find all providers in zip 08534 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894565 | Miriam Johnson | Nurse Practitioner | 1 Capital Way, Pennington, NJ 08534-2520 | 2019-07-25 |
| 1649740945 | Amanda Gonzalez | Nurse Practitioner | 2 Capital Way Ste 356, Pennington, NJ 08534-2521 | 2018-11-29 |
| 1437639960 | Stacy Kristin Newman | Nurse Practitioner | 1 Capital Way, Pennington, NJ 08534-2520 | 2018-08-15 |
| 1073025896 | Furva Raza | Nurse Practitioner | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2017-11-02 |
| 1730544115 | Woody Jonathan Rosales | Nurse Practitioner | 1 Capital Way, Pennington, NJ 08534-2520 | 2015-12-29 |
| 1710398433 | Danielle Leah Beyers | Nurse Practitioner | 1 Capital Way, Pennington, NJ 08534-2520 | 2014-05-15 |
| 1891035101 | Emily Hewitt | Nurse Practitioner | 1 Capital Way, Pennington, NJ 08534-2520 | 2013-02-22 |
| 1225305022 | Johanna Lynne Everett | Nurse Practitioner | 1 Capital Way, Pennington, NJ 08534-2520 | 2011-11-22 |
| 1356644322 | Christina Bea Stone | Nurse Practitioner | 84 Route 31 N Ste 103, Pennington, NJ 08534-3605 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1861093221 | Giacomina Carmela Sorezza | Nurse Practitioner | 267 Betsy Ross Dr, Freehold, NJ 07728-4223 | 2020-11-03 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
| 1093314015 | Olga Karpusyuk | Nurse Practitioner | 2 Wilson Lane, Metuchen, NJ 08840 | 2020-10-21 |
| 1447859848 | Eugenie Kottin Chetangie | Nurse Practitioner | 13 Rolling Rapids Ct, Hackettstown, NJ 07840-1736 | 2020-10-19 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1205434248 | Avraham Y Eisenman | Nurse Practitioner | 706 Passaic Ave, Clifton, NJ 07012-1847 | 2020-10-12 |
| 1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PENNINGTON |
| Zip Code | 08534 |
Please comment or provide details below to improve the information on SHANNON LYNN RENITSKY.
| 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.