KATELYN SHAFFER (NPI# 1275147324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275147324 |
| Entity Type | Individual |
| Full Name | KATELYN SHAFFER |
| Credential | NP-C |
| Practice Address |
1125 Diamond Dr Hagerstown MD 21740-5857 |
| Practice Telephone | 3017901482 |
| Mailing Telephone | 3017901482 |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ACOO3351 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
106784 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920130 | Katelyn Marie Shaffer | Pharmacist | 1137 Market St, Lemoyne, PA 17043-1416 | 2019-09-08 |
| 1699293928 | Katelyn Shaffer | Nurse Practitioner | 717 Bethlehem Pike Ste 300, Erdenheim, PA 19038-8117 | 2017-09-07 |
| Street Address |
1125 DIAMOND DR |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245246958 | Paul M Mauriello | Allergy & Immunology | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2006-08-01 |
| 1194361055 | Justina Workman | Nurse Practitioner | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2019-11-25 |
| 1659658052 | Camille Ava Brion Loanzon | Nurse Practitioner | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2011-11-14 |
| 1801029905 | Drs. Porac & Bachtell Family Dentistry, LLC | Clinic/Center | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2009-08-24 |
| 1356536700 | Sailaja Nootheti | Allergy & Immunology | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2007-09-10 |
| 1831312164 | Douglas Allen Bachtell II | Dentist | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2007-04-11 |
| 1508953407 | Richard Joseph Porac | Dentist | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2006-10-10 |
| 1588778450 | Drs Mauriello and Orfan Pa | Allergy & Immunology | 1125 Diamond Dr, Hagerstown, MD 21740-5857 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543893 | Isata Jalloh | Nurse Practitioner | 235 Mill St, Hagerstown Md, 21740, Same As Above, Hagerstown, MD 21740-6668 | 2019-11-26 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1225694888 | Vanessa Lynn Geyer | Nurse Practitioner | 1223 Glenwood Ave, Hagerstown, MD 21742-3028 | 2019-05-18 |
| 1891260741 | Erin Oman | Nurse Practitioner | 11110 Medical Campus Rd Ste 246, Hagerstown, MD 21742-6756 | 2018-10-08 |
| 1316430234 | Amanda Brown | Nurse Practitioner | 222 E Oak Ridge Dr Ste 1200, Hagerstown, MD 21740-7858 | 2018-06-14 |
| 1679091524 | Shawna Angel Chisholm | Nurse Practitioner | 18225 Hurricane Ct, Hagerstown, MD 21740-6594 | 2017-08-30 |
| 1356735971 | Hanan Kallash | Nurse Practitioner | 10 East Wilson Blvd, Minute Clinic, Hagerstown, MD 21740 | 2015-03-20 |
| 1811399009 | Tisha Varghese | Nurse Practitioner | 24 North Walnut Street, Hagerstown, MD 21740 | 2014-09-19 |
| 1265833099 | Amanda Diane Kallas | Nurse Practitioner | 1733 Howell Road, Hagerstown, MD 21740-6700 | 2014-09-11 |
| 1538226972 | Janeen A Lyche | Nurse Practitioner | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742-3810 | 2007-01-03 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on KATELYN SHAFFER.
| 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.