JOANNA SHADY (NPI# 1285267484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285267484 |
| Entity Type | Individual |
| Full Name | JOANNA SHADY |
| Credential | RN |
| Practice Address |
60 Himango Rd Esko MN 55733-9523 |
| Practice Telephone | 2183902374 |
| Mailing Telephone | 2183902374 |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
2472058 | MN | Nursing Service Providers |
| Street Address |
60 HIMANGO RD |
| City | ESKO |
| State | MN |
| Zip Code | 55733-9523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902348949 | Taylor Walling | Social Worker | 3 Keanu Ln, Esko, MN 55733 | 2016-11-08 |
| 1013081736 | Dental Associates-esko Incorporated | Dentist | 4 Highway 61, Esko, MN 55733-0394 | 2006-11-17 |
| 1497902688 | Deri L Lund | Registered Nurse | 118 Meadowbrook, Esko, MN 55733-5504 | 2008-08-19 |
| 1558715433 | Shawn Bloss | Occupational Therapist | 16 Timberline Dr, Esko, MN 55733-9500 | 2016-04-18 |
| 1376915876 | Andrea Beaudot | Acupuncturist | 5 Juntunen Rd, Esko, MN 55733-9501 | 2015-10-22 |
| 1689298309 | Bonita Perrine | Registered Nurse | 135 Hatinen Rd, Esko, MN 55733-9525 | 2020-05-29 |
| 1548692312 | Barnes Care | Assisted Living Facility | 56 W Highway 61, Esko, MN 55733-9701 | 2013-08-05 |
| 1811435449 | Jodene Syrjanen | Licensed Practical Nurse | 39 Maple Dr, Esko, MN 55733-9702 | 2017-02-02 |
| 1831142074 | Joanne Carla Smith | Family Medicine | 275 Jay Cooke Rd, Esko, MN 55733-9727 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298309 | Bonita Perrine | Registered Nurse | 135 Hatinen Rd, Esko, MN 55733-9525 | 2020-05-29 |
| 1902348949 | Taylor Walling | Social Worker | 3 Keanu Ln, Esko, MN 55733 | 2016-11-08 |
| 1558715433 | Shawn Bloss | Occupational Therapist | 16 Timberline Dr, Esko, MN 55733-9500 | 2016-04-18 |
| 1376915876 | Andrea Beaudot | Acupuncturist | 5 Juntunen Rd, Esko, MN 55733-9501 | 2015-10-22 |
| 1548692312 | Barnes Care | Assisted Living Facility | 56 W Highway 61, Esko, MN 55733-9701 | 2013-08-05 |
| 1497902688 | Deri L Lund | Registered Nurse | 118 Meadowbrook, Esko, MN 55733-5504 | 2008-08-19 |
| 1013081736 | Dental Associates-esko Incorporated | Dentist | 4 Highway 61, Esko, MN 55733-0394 | 2006-11-17 |
| 1831142074 | Joanne Carla Smith | Family Medicine | 275 Jay Cooke Rd, Esko, MN 55733-9727 | 2006-05-18 |
| 1811435449 | Jodene Syrjanen | Licensed Practical Nurse | 39 Maple Dr, Esko, MN 55733-9702 | 2017-02-02 |
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497902688 | Deri L Lund | Registered Nurse | 118 Meadowbrook, Esko, MN 55733-5504 | 2008-08-19 |
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|---|---|---|---|---|
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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.