SHANNON ELIZABETH GAFFNEY (NPI# 1306825344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306825344 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH GAFFNEY |
| Credential | HS |
| Practice Address |
4000 Coast Guard Blvd Portsmouth VA 23703-2135 |
| Mailing Address |
89 Pepperwood Ln Portsmouth VA 23703-2761 |
| Practice Telephone | 7574838750 |
| Mailing Telephone | 5707933705 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548459340 | Shannon Gaffney | Family Medicine | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2007-10-17 |
| 1184738015 | Shannon Gaffney | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2006-08-18 |
| Street Address |
4000 COAST GUARD BLVD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902882434 | Renard Garcia Scott | Military Health Care Provider | 4000 Coast Guard Blvd, Medical Division, Portsmouth, VA 23703-2135 | 2005-12-16 |
| 1659848729 | Cathy Elaine Guyer | Dental Hygienist | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2018-10-26 |
| 1437522406 | Lisa Rivera | Dental Hygienist | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2015-11-12 |
| 1194192781 | Megan Zieger | Social Worker | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2015-08-31 |
| 1083024665 | Stewart Wesley Calloway | Technician, Other | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-05-05 |
| 1437569209 | Cindy Holbeck | Technician, Other | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-05-02 |
| 1902226236 | Heather Johnson | Military Health Care Provider | 4000 Coast Guard Blvd, Portsmouth, VA 23703 | 2014-04-25 |
| 1619397023 | Eric Luongo | Technician, Health Information | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-04-24 |
| 1316367766 | Amanda Kitson | Technician, Other | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-04-24 |
| 1790105187 | Paul Stuart V | Military Health Care Provider | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255548491 | Daniel Wayne Vanskyhawk II | Military Health Care Provider | 414 Concord Rd, Portsmouth, VA 23701-2231 | 2007-05-17 |
| 1376063859 | Daryl Vista Lumagui | Military Health Care Provider | 1 Ayres Circle, Bldg. H-1, Pnsy, Portsmouth, NH 03804 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878365 | Justin Felix | Military Health Care Provider | 4747 W Braddock Rd Apt 3, Alexandria, VA 22311-4722 | 2018-10-24 |
| 1629555792 | Christopher R Bowlds | Military Health Care Provider | 3477 S Utah St, Arlington, VA 22206-1943 | 2018-07-23 |
| 1053809491 | James Miller | Military Health Care Provider | 716 Whisperwood Dr, Newport News, VA 23602-4954 | 2018-05-01 |
| 1225464837 | Stephen Mitchell Harris | Military Health Care Provider | 49 Spruce St, Pcs Box 1000, Langley Afb, VA 23665-2800 | 2013-09-16 |
| 1104259522 | Antoine Lamont Smith Sr. | Military Health Care Provider | 1260 Shotgun Rd, Chesapeake, VA 23322-4512 | 2013-08-21 |
| 1063851616 | Alina J Elliott | Military Health Care Provider | 119 Kincaid Ln, Hampton, VA 23666-5401 | 2013-06-17 |
| 1821337346 | Stefan Langley | Military Health Care Provider | 212 Apollo Way, Hampton, VA 23665-2492 | 2013-02-04 |
| 1790041192 | Ferdinand Nmi Makabata | Military Health Care Provider | 1406 Hardy Cash Dr, Hampton, VA 23666-2434 | 2012-04-10 |
| 1053688416 | Thomas Garrett Cook | Military Health Care Provider | 384 Watts Ave, Hampton, VA 23665-1822 | 2011-11-29 |
| 1598032955 | Ann Marie Summerrise | Military Health Care Provider | 102 Chippenham Dr Apt H, Yorktown, VA 23693-2843 | 2011-11-29 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.