SHANNON LEACH (NPI# 1265858047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265858047 |
| Entity Type | Individual |
| Full Name | SHANNON LEACH |
| Credential | NP |
| Practice Address |
1234 Huffman Mill Road Burlington NC 27215-8700 |
| Practice Telephone | 3365381234 |
| Practice Fax Number | 3365846811 |
| Mailing Telephone | 3365381234 |
| Mailing Fax Number | 3365846811 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5006784 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942772074 | Shannon T Leach | Counselor | 4835 Poplar Level Rd Ste 110, Louisville, KY 40213-2906 | 2018-12-31 |
| 1285918938 | Shannon M Leach | Nurse Practitioner | 1700 13th St, Everett, WA 98201-1689 | 2011-09-29 |
| Street Address |
1234 HUFFMAN MILL ROAD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083692396 | John Jeffrey Poggi | Specialist | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2006-01-06 |
| 1730565490 | Fuad Aleskerov | Internal Medicine | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2015-08-05 |
| 1780989152 | Justin W Markey | Physical Therapist | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2011-01-17 |
| 1265753511 | Chelsea Crist Ward | Obstetrics & Gynecology | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2010-06-21 |
| 1184940918 | Isami Sakai | Surgery | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2010-04-19 |
| 1710047311 | Thomas L. O'connell | Internal Medicine | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2006-12-12 |
| 1932276300 | Hilary Blackwood | Nurse Practitioner | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2006-11-29 |
| 1417973983 | Teodoro K. Toledo | Internal Medicine | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2006-07-15 |
| 1649241894 | John D Johnston | Internal Medicine | 1234 Huffman Mill Road, Burlington, NC 27215-8700 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
| 1912446097 | Zachary Schwartz | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2017-02-22 |
| 1336510841 | Elise C Tarbi | Nurse Practitioner | 111 Colchester Ave, Uvm Medical Center - Palliative Care Services, Burlington, VT 05401-1473 | 2015-10-09 |
| 1740672070 | Laura Catoe | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-02-24 |
| 1073744918 | Katharine Marie Murphy | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2009-07-27 |
| 1750537023 | Michele S. Barber | Nurse Practitioner | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2008-08-18 |
| 1164678009 | Kimberley Ann Brinkman | Nurse Practitioner | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2008-08-12 |
| 1134274251 | Timothy Paul Mcgrath | Nurse Practitioner | Lahey Hospital & Medical Ctr, 41 Mall Rd., Burlington, MA 01805-0001 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
| 1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
| 1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
| 1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
| 1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on SHANNON LEACH.
| 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.