SHANNON DOHERTY (NPI# 1275177917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275177917 |
| Entity Type | Individual |
| Full Name | SHANNON DOHERTY |
| Practice Address |
600 Wayne Ave Dayton OH 45410-1122 |
| Practice Telephone | 9374962000 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 164178 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852297 | Shannon Marie Doherty | Occupational Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2017-10-18 |
| 1437586435 | Shannon Leigh Doherty | Marriage & Family Therapist | 8383 Greenway Blvd, Suite 600, Middleton, WI 53562-4626 | 2013-10-04 |
| 1295791580 | Shannon Doherty | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2006-04-25 |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811920556 | Eastway Corporation | Clinic/Center | 600 Wayne Ave, Dayton, OH 45410-1122 | 2006-07-08 |
| 1669072310 | Deonate Gary | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-30 |
| 1023618972 | Shakora Flowers | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1396345153 | Heather Elaine Miller | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1174123475 | Bettie Parks | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-27 |
| 1952900847 | Christina M Smith | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-21 |
| 1912505520 | Kelly E Blevins | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-15 |
| 1366049090 | Dana Bobalik | Social Worker | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-06 |
| 1780281576 | Heather Miller | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-05 |
| 1073110292 | Kristy Rothgeb | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| 1326499021 | Courtney Renee Downing | Registered Nurse | 600 Wayne Ave., Dayton, OH 45410-1122 | 2016-06-24 |
| 1982791729 | Robert Orgain Hardy | Psychiatry & Neurology | 600 Wayne Av, Eastway Behavioral Healthcare, Dayton, OH 45410-1122 | 2006-10-05 |
| 1619223401 | Joshua Matthew Estepp | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| 1164778957 | Myekale S Novy | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911794 | Ashley Renee' Hall | Licensed Practical Nurse | 4360 Nevada Ave, Dayton, OH 45416-1436 | 2020-08-06 |
| 1659980910 | Danielle Elizabeth Wilson | Licensed Practical Nurse | 2511 E 3rd St, Dayton, OH 45403-2018 | 2020-07-23 |
| 1235755448 | Kameron Owens | Licensed Practical Nurse | 1102 Salem Ave Apt 2e, Dayton, OH 45406-5148 | 2020-06-23 |
| 1801423421 | Renee Robinson | Licensed Practical Nurse | 4424 Bluehaven Dr, Dayton, OH 45406-3333 | 2020-03-24 |
| 1598306458 | Asia Y Edwards | Licensed Practical Nurse | 1811 Coretta Ct, Dayton, OH 45417-4522 | 2019-10-02 |
| 1154972131 | Shawnta Renee Brown | Licensed Practical Nurse | 5125 Altrim Rd, Dayton, OH 45417-6017 | 2019-09-22 |
| 1447808050 | Desiree Nicole Baker | Licensed Practical Nurse | 1515 Canfield Ave, Dayton, OH 45406-4208 | 2019-08-27 |
| 1982260543 | Leetonia L Maye | Licensed Practical Nurse | 4220 Camargo Dr Apt F, Dayton, OH 45415-3315 | 2019-05-19 |
| 1720641046 | Sacha Jenell Mahaley | Licensed Practical Nurse | 40 S Williams St, Dayton, OH 45402-8235 | 2019-04-22 |
| 1134683915 | Marcus D Ewings | Licensed Practical Nurse | 4817 Kentfield Dr, Dayton, OH 45426-1823 | 2019-01-26 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on SHANNON DOHERTY.
| 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.