SHANNON KATHLEEN MALE (NPI# 1396246401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396246401 |
| Entity Type | Individual |
| Full Name | SHANNON KATHLEEN MALE |
| Credential | FNP-BC |
| Practice Address |
71 W 156th St Ste 401 Harvey IL 60426-4265 |
| Mailing Address |
1112 Coalfield Dr Coal City IL 60416-1767 |
| Practice Telephone | 7083394800 |
| Practice Fax Number | 7083394814 |
| Mailing Telephone | 8156716295 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.016973 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
71 W 156TH ST STE 401 |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431394 | Alisha Michelle Cannon Arena | Nurse Practitioner | 1901 Manhattan Blvd Ste 202, Harvey, LA 70058-3582 | 2020-09-14 |
| 1124643614 | Adreonne Kaydrell Lewis Houston | Nurse Practitioner | 2010 N Village Green St, Harvey, LA 70058-7002 | 2020-06-10 |
| 1104014026 | Cynthia Kudji LLC | Nurse Practitioner | 3924 Red Cypress Dr, Harvey, LA 70058-5815 | 2007-10-04 |
| 1558468850 | Ysonde Maria Hobbs | Nurse Practitioner | 4103 Lac Couture Dr., Harvey, LA 70058 | 2006-09-20 |
| 1043286834 | Karen S. Lambousy | Nurse Practitioner | 1804 Lake Superior Dr, Harvey, LA 70058-5139 | 2006-02-23 |
| 1164084133 | Regina Channell Ruffin | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2019-06-30 |
| 1902396542 | Tina Desiree Lofton-mosley | Nurse Practitioner | 15620 Wood St, Harvey, IL 60426-4171 | 2018-05-17 |
| 1003303769 | Maira Ochoa | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-04-18 |
| 1225549447 | Kimberly Wessendorf | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-10-15 |
| 1053855908 | Stephanie Liggons | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2016-12-12 |
| Find all providers in HARVEY | ||||
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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.