SHANNON BURNS (NPI# 1366853525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366853525 |
| Entity Type | Individual |
| Full Name | SHANNON BURNS |
| Credential | PA-C, ATC |
| Practice Address |
586 Oak Hill Rd Williston VT 05495 |
| Mailing Address |
586 Oak Hill Rd Williston VT 05495-7103 |
| Practice Telephone | 8028788131 |
| Mailing Telephone | 8028788131 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
104.0104848 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Sunrise Dr, Wayne, NJ 074704120 | 9732772726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682018 | Shannon Lee Burns | Massage Therapist | 223 Lauderdale Trl, Fort Lauderdale, FL 33312-7127 | 2020-09-02 |
| 1285134296 | Shannon Burns | Licensed Vocational Nurse | 901 Yosemite Trl, Taylor, TX 76574-7034 | 2018-02-16 |
| 1659617652 | Shannon A Burns | Specialist | 14379 Rt 9w, Ravena, NY 12143-0000 | 2012-12-19 |
| 1801886254 | Shannon Haynie Burns | Nurse Practitioner | 2901 Free Union Rd, Charlottesville, VA 22901-5601 | 2005-10-26 |
| 1861490229 | Shannon Arlon Burns | Chiropractor | 17842 Irvine Blvd, Suite 102, Tustin, CA 92780-3203 | 2005-07-11 |
| 1932732674 | Shannon Burns | Behavioral Analyst | 139 Leopard Rd, Berwyn, PA 19312-1809 | 2020-02-21 |
| 1891227781 | Shannon Burns | Behavioral Analyst | 1010 Wayne Ave Ste 675, Silver Spring, MD 20910-5676 | 2017-03-30 |
| 1003258898 | Shannon Kathleen Burns | Nurse Practitioner | 580 W 8th St, Ufjax - Dept. of Neurology, Jacksonville, FL 32209-6533 | 2013-07-23 |
| 1376690016 | Shannon Lynn Burns | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-04 |
| Street Address |
586 OAK HILL RD |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861418782 | Jeffrey Erik Haddock | Family Medicine | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2006-07-14 |
| 1417572942 | Zachary Nollet | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2020-06-10 |
| 1831685767 | Mirsada Nurkanovic | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2018-07-03 |
| 1831606326 | Lily Stolberg | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2018-01-05 |
| 1144647702 | Amy Denis | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2014-03-20 |
| 1215254289 | Jena S Katzman | Nurse Practitioner | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2010-04-29 |
| 1902037914 | Michele Diane Leduc | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2009-08-07 |
| 1639339617 | Nancy Hausner Abernathey | Social Worker | 586 Oak Hill Rd, Thomas Chittenden Health Center, Williston, VT 05495-7103 | 2008-06-12 |
| 1710053004 | Thomas Chittenden Health Center | Family Medicine | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2006-11-28 |
| 1689751539 | Caroline L Slimovitch | Family Medicine | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| 1528284270 | Christopher Joseph Hirsch | Physician Assistant | 111 W Noble Ave, Williston, FL 32696-2027 | 2007-04-18 |
| 1609972488 | John Coleman | Physician Assistant | 125 Sw 7th St, Williston, FL 32696-2403 | 2006-09-16 |
| 1366489122 | Johanna Hauser | Physician Assistant | 75 Talcott Rd, Suite 10, Williston, VT 05495-8121 | 2006-06-01 |
| 1801868005 | Patrick Cornelius Kearney | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2006-02-02 |
| 1417572942 | Zachary Nollet | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2020-06-10 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
| 1588162614 | Chad R Bowen | Physician Assistant | 3 4th St E, Williston, ND 58801-5350 | 2018-01-23 |
| 1346799400 | Kynzie Oliver | Physician Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2016-09-29 |
| 1407227101 | Carley Hennessy | Physician Assistant | 1700 11th St W, Williston, ND 58801-4500 | 2015-10-07 |
| Find all providers in WILLISTON | ||||
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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.