MRS. SHANNON LOUETTE SKAUG


Address: 1108 Ross Clark Cir, Dothan, AL 36301-3024
Phone: 3347123635

MRS. SHANNON LOUETTE SKAUG (NPI# 1255825832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255825832
Entity Type Individual
Full Name MRS. SHANNON LOUETTE SKAUG
Credential CRNP
Practice Address 1108 Ross Clark Cir
Dothan
AL 36301-3024
Mailing Address 1108 Ross Clark Cir
Dothan
AL 36301-3022
Practice Telephone 3347123635
Mailing Telephone 3347123635
Enumeration Date 2018-06-18
Last Update Date 2018-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1-153334 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1108 ROSS CLARK CIR
City DOTHAN
State AL
Zip Code 36301-3024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679576268 Judith L Bosse Nurse Practitioner 1108 Ross Clark Cir, Hospitalist Office, Dothan, AL 36301-3022 2005-05-27
1811597073 Michael Brian Pierce Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-10-27
1659990901 Robert Dale Garrett Nurse Anesthetist, Certified Registered 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-04-15
1861028607 Richard Henry Jester Physician Assistant 1108 Ross Clark Cir, Dothan, AL 36301-3022 2020-03-12
1467017335 Keaton Peak Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301 2019-05-07
1396214060 Shalita Clark Psychiatry & Neurology 1108 Ross Clark Cir, Dothan, AL 36301-3022 2018-11-24
1619452760 Drew Mckenzie Hubbard Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301-3022 2018-09-25
1609359926 Amber Salmon Dietitian, Registered 1108 Ross Clark Cir, Dothan, AL 36301-3024 2018-09-12
1225529712 Vyshnavi Kone Student in an Organized Health Care Education/Training Program 1108 Ross Clark Cir, Dothan, AL 36301 2018-05-21
1811487549 Sheila Elaine Starling Registered Nurse 1108 Ross Clark Cir, Dothan, AL 36301-3022 2018-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043862931 Pharmacy Center South LLC Pharmacy 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 2019-07-11
1851879167 Attallah Cotton Social Worker 101 Eastridge Dr, Dothan, AL 36301 2018-07-31
1225522709 Nichole Johnson Prestwood Nurse Practitioner 2431 W Main St Ste 501, Dothan, AL 36301 2018-06-19
1750805818 Kimberly Danielle Austin Speech-Language Pathologist 404 Darlington Cir, Dothan, AL 36301 2017-07-31
1952794885 Lori P. Granberry Pharmacist 2131 Ross Clark Circle, Dothan, AL 36301 2015-03-17
1801286059 Robert Cody Russell Nurse Practitioner 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 2015-01-27
1720407646 Michael Kreger Anesthesiology 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 2014-04-08
1063851277 Carlos Stanford Clark II Family Medicine 201 Doctors Drive, Dothan, AL 36301 2013-06-20
1639489313 Robert Fort Hambaugh Jr. Specialist 712 Woodland Drive, Dothan, AL 36301 2010-10-15
1588894976 Atwill Lamar Miller Jr. Urology 1908 Fairview Avenue, Dothan, AL 36301 2009-07-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568095446 Marathon Health LLC Nurse Practitioner 131 Cliff Rd, Dothan, AL 36303-5415 2020-02-19
1225522709 Nichole Johnson Prestwood Nurse Practitioner 2431 W Main St Ste 501, Dothan, AL 36301 2018-06-19
1902396286 Genevieve Patricia Lewellyn Nurse Practitioner 1184 Upton Rd, Dothan, AL 36305-5134 2018-05-13
1073979886 Sydney Stevens Weber Nurse Practitioner 1052 Ross Clark Cir, Dothan, AL 36303-5425 2016-01-08
1801286059 Robert Cody Russell Nurse Practitioner 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 2015-01-27
1013310143 Samantha Poole Carter Nurse Practitioner 4300 W Main St Ste 15, Dothan, AL 36305-1058 2014-10-03
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1144469438 Houston County Healthcare Authority Nurse Practitioner 1806 Fairview Ave Ste A, Dothan, AL 36301-3026 2009-02-11
1851430383 Robert Michael Ortiz Nurse Practitioner 1118 Ross Clark Cir Ste 303, Dothan, AL 36301-3002 2007-02-05
1841309648 Malissa Harkleroad Williams Nurse Practitioner 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 2006-08-29
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Competitor

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City DOTHAN
Zip Code 36301

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Dataset Information

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.

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