SHANNON NICOLE HOGAN (NPI# 1356826705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356826705 |
| Entity Type | Individual |
| Full Name | SHANNON NICOLE HOGAN |
| Practice Address |
1144 N Road St Elizabeth City NC 27909-3473 |
| Mailing Address |
5112 Clear Lake Cir Virginia Beach VA 23464-6028 |
| Practice Telephone | 2523350531 |
| Mailing Telephone | 4438076012 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
0001270844 | VA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011082 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620442 | Shannon Hogan | Student in an Organized Health Care Education/Training Program | 195 Canal St, Malden, MA 02148-6701 | 2020-05-07 |
| 1326512062 | Shannon Hogan | Physical Therapy Assistant | 19395 W Capitol Dr Ste 200, Brookfield, WI 53045-2736 | 2019-01-16 |
| 1609276765 | Shannon Hogan | Counselor | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2014-08-26 |
| 1144576596 | Shannon Marie Hogan | Pharmacist | 110 E Broadway, Fulton, NY 13069-2300 | 2012-08-02 |
| 1598090177 | Shannon Hogan | Registered Nurse | 231 E Chestnut St, Louisville, KY 40202-1821 | 2009-10-15 |
| 1265613426 | Shannon M. Hogan | Pediatrics | 1 S Prospect St, Burlington, VT 05401-3456 | 2007-11-16 |
| 1801865845 | Shannon M. Hogan | Physician Assistant | 13555 W Mcdowell Rd, Suite 101, Goodyear, AZ 85338-2624 | 2006-03-14 |
| Street Address |
1144 N ROAD ST |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639163645 | Pathology Associates II of Eastern North Carolina PC | Pathology | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2005-09-06 |
| 1811597107 | Caroline Poage | Physical Therapist | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2020-10-27 |
| 1639649585 | Hamdi Abdelkader Hamdi Battah | Internal Medicine | 1144 N Road St, Elizabeth City, NC 27909 | 2018-12-03 |
| 1669986857 | Pasquotank River Inpatient Services LLC | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2017-11-27 |
| 1093242190 | Courtney Marie Martin | Specialist/Technologist | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2017-05-19 |
| 1093240764 | Rachel Pretko | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2017-05-01 |
| 1710330428 | Old North State Emergency Physicians, LLC | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2016-07-18 |
| 1003267006 | Ali Hussain | Internal Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2016-06-30 |
| 1417308115 | Tartan Emergency Physicians, LLC | Physician Assistant | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2016-06-24 |
| 1295194397 | Sarmc Anesthesia Specialist LLC | Anesthesiology | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2016-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043840309 | Julie Anne Stallings | Nurse Practitioner | 902b Roanoke Ave Apt 12, Elizabeth City, NC 27909-5565 | 2020-01-24 |
| 1194207605 | Kristen Lea Landon | Nurse Practitioner | 1134 N Road St Ste 4, Elizabeth City, NC 27909-3365 | 2018-08-30 |
| 1114358371 | Sherry Renee Whaley | Nurse Practitioner | Next Care Urgent Care, 615 S Hughes Blvd #a, Elizabeth City, NC 27909 | 2013-12-12 |
| 1346463841 | Mary Catherine Chapley | Nurse Practitioner | 501 Catilina Ave, Elizabeth City, NC 27909-7030 | 2007-04-11 |
| 1821609603 | Rebekkah Cratty Mcgronan | Nurse Practitioner | 1805 W City Dr, Elizabeth City, NC 27909-9646 | 2020-08-13 |
| 1437795416 | Jessica Dawn Breaux | Nurse Practitioner | 615 S Hughes Blvd, Elizabeth City, NC 27909-4785 | 2019-11-25 |
| 1114574753 | Stacy Cartwright Pritchard | Nurse Practitioner | 1805 W City Dr Ste H, Elizabeth City, NC 27909-9660 | 2019-08-19 |
| 1467011940 | Jennifer Henderson | Nurse Practitioner | 135 E Rich Blvd, Elizabeth City, NC 27909-5518 | 2019-06-10 |
| 1326605759 | Kara Waldrop | Nurse Practitioner | 135 E Rich Blvd, Elizabeth City, NC 27909-5518 | 2019-05-21 |
| 1215491634 | Tamara Pace | Nurse Practitioner | 1134 N Road St, Elizabeth City, NC 27909-3322 | 2019-01-30 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on SHANNON NICOLE HOGAN.
| 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.