TERESA ANN SHANNON (NPI# 1295379220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295379220 |
| Entity Type | Individual |
| Full Name | TERESA ANN SHANNON |
| Practice Address |
1111 Elmwood Ave Rochester NY 14620-3005 |
| Practice Telephone | 5857344632 |
| Mailing Telephone | 5852411395 |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
688464-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538120852 | Teresa Z Shannon | Counselor | 1332 Deerpath Rd, Chipley, FL 32428-5847 | 2006-03-28 |
| Street Address |
1111 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629011952 | Jeremy D Smith | Internal Medicine | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2006-06-14 |
| 1447867320 | Leslie Shannon Fisher | Dietitian, Registered | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-09-25 |
| 1679195762 | Abigail Farchione | Dietitian, Registered | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-05-12 |
| 1790315703 | Jacqueline Anne Germano | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2020-01-17 |
| 1326686676 | Claudia Patrice Walker-lewis | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-12-17 |
| 1659918845 | Joshua David Redman | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-12-06 |
| 1548805823 | Shinee Mathews | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-11 |
| 1285278937 | Ronald Muscarella | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-05 |
| 1023652971 | Julie R. Hutchinson | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-04 |
| 1528602695 | Rebecca Lynn Ferguson | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808703 | Karen Ann Wygal | Registered Nurse | Nys/omh Rochester Psyc. Center, 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2018-01-01 |
| 1801339528 | Lorraine Weed | Registered Nurse | 251 Culver Rd Apt 2, Rochester, NY 14607-2365 | 2016-11-29 |
| 1730700659 | Cenitra J Johnson | Registered Nurse | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2020-05-01 |
| 1548805823 | Shinee Mathews | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2019-11-11 |
| 1003324781 | Donna Gayle Hartman | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2018-01-17 |
| 1740796937 | Judith Ann Lodato | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-26 |
| 1649786815 | Mobeen Shirazi | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-23 |
| 1235565243 | Tom Ramsay | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2013-09-23 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1346567039 | Alyce K Marks | Registered Nurse | 224 Alexander St, Rochester, NY 14607-4000 | 2010-04-21 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on TERESA ANN SHANNON.
| 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.