SHANNON RAE MIKITA (NPI# 1235788001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235788001 |
Entity Type | Individual |
Full Name | SHANNON RAE MIKITA |
Credential | RN-BC |
Practice Address |
11279 Perry Hwy Ste 204 Wexford PA 15090-9303 |
Practice Telephone | 7249333910 |
Mailing Telephone | 7249333910 |
Enumeration Date | 2019-09-05 |
Last Update Date | 2019-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN609684 | PA | Nursing Service Providers |
Street Address |
11279 PERRY HWY STE 204 |
City | WEXFORD |
State | PA |
Zip Code | 15090-9303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396296133 | Katharine Elizabeth Ewing | Social Worker | 11279 Perry Hwy Ste 204, Wexford, PA 15090-9303 | 2016-10-17 |
1114547692 | Callan Weisser | Counselor | 11279 Perry Hwy Ste 204, Wexford, PA 15090-9303 | 2020-04-24 |
1053956250 | Savannah Straub | Case Manager/Care Coordinator | 11279 Perry Hwy Ste 204, Wexford, PA 15090-9303 | 2019-11-12 |
1033754247 | Kristen Claus | Case Manager/Care Coordinator | 11279 Perry Hwy Ste 204, Wexford, PA 15090-9303 | 2019-11-12 |
1942765441 | Nicole Lockard | Counselor | 11279 Perry Hwy Ste 204, Wexford, PA 15090-9303 | 2019-02-08 |
1467956011 | Nanelle J Florence | Social Worker | 11279 Perry Hwy Ste 204, Wexford, PA 15090-9303 | 2018-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
Find all providers in zip 15090 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730561119 | Monica Conn | Registered Nurse | 117 Vip Dr, St 310, Wexford, PA 15090-6932 | 2015-06-22 |
1972639706 | Raana Flemm | Registered Nurse | 9983 Perry Hwy, Wexford, PA 15090-9297 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346864105 | Amanda Jo Keffer | Registered Nurse | 615 E Mcmurray Rd Ste 1, Mc Murray, PA 15317-3497 | 2020-06-07 |
1437783545 | Brad Michael Burns | Registered Nurse | 49 Kendall Ave, Pittsburgh, PA 15202-3930 | 2020-02-27 |
1558904813 | Joseph Richard Gagnon Jr. | Registered Nurse | 3774 Ridge Pike Rear 2, Collegeville, PA 19426-3153 | 2019-10-18 |
1184270787 | Raeann Carter | Registered Nurse | 100 N Bellefield Ave Rm 417, Pittsburgh, PA 15213-2600 | 2019-08-11 |
1023580644 | Summer C Alonso | Registered Nurse | 10 E 6th Ave Ste 200, Conshohocken, PA 19428-1784 | 2018-12-20 |
1902375116 | Ezioma C Onwukanjo | Registered Nurse | 215 Hunter Creek Dr, York, PA 17406-6022 | 2018-11-16 |
1467944199 | Jacquelyn Marie Thayer | Registered Nurse | 2006 Bainbridge St Apt 2f, Philadelphia, PA 19146-1373 | 2018-05-30 |
1962911958 | Deborah Marie Terchanik | Registered Nurse | 313 W High St Ste 211, Ebensburg, PA 15931-1549 | 2017-09-22 |
1528514080 | Margaret Shepard | Registered Nurse | 12 E Princeton Rd, Bala Cynwyd, PA 19004-2241 | 2016-08-25 |
1861840498 | Heather Case | Registered Nurse | 248 Lemoyne Ave, Pittsburgh, PA 15228-2262 | 2016-05-24 |
Find all providers with the same taxonomy |
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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.