SHANNON JO BARTLETT (NPI# 1417911140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417911140 |
| Entity Type | Individual |
| Full Name | SHANNON JO BARTLETT |
| Credential | PA |
| Practice Address |
4380 Malsbary Road Suite 175 Cincinnati OH 45242-5644 |
| Practice Telephone | 5132720261 |
| Practice Fax Number | 5132720362 |
| Mailing Telephone | 5132720261 |
| Mailing Fax Number | 5132720362 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.001961 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 50001961 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE PIN | P00115908 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205175288 | Shannon Lynn Bartlett | Counselor | 301 Medical Park Dr, Suite 202-b, Concord, NC 28025-2981 | 2013-02-11 |
| 1851643332 | Shannon Elizabeth Bartlett | Counselor | 2910 Enloe St, Hudson, WI 54016-4538 | 2012-10-09 |
| 1093064487 | Shannon Lynn Bartlett | Specialist | 22 New York Rd, Plattsburgh, NY 12903-3981 | 2012-08-31 |
| Street Address |
4380 MALSBARY ROAD SUITE 175 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| 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 |
|---|---|---|---|---|
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1528671831 | Kekeli Diane Ominira Amara | Physician Assistant | 1535 Elkton Pl, Cincinnati, OH 45224-2517 | 2020-08-26 |
| 1609486281 | Taylor Diane Williams | Physician Assistant | 26 Sugarmaple Ct, Cincinnati, OH 45236-1162 | 2020-08-07 |
| 1023634607 | Melissa Marie Louis | Physician Assistant | 44 W Freedom Way Unit 823, Cincinnati, OH 45202-0008 | 2020-06-19 |
| 1437774726 | Christina Marie Kohorst | Physician Assistant | 2500 Warsaw Ave Apt 43, Cincinnati, OH 45204-1534 | 2020-06-11 |
| 1164050621 | Cossette Buchman | Physician Assistant | 5031 W Eastwood Cir, Cincinnati, OH 45227-1405 | 2020-03-31 |
| 1730729120 | Lindsey Deal Heim | Physician Assistant | 123 Goethe St, Cincinnati, OH 45202-8953 | 2020-01-14 |
| 1316598675 | Crystal Ann Fortuna | Physician Assistant | 621 E Mehring Way Unit 1101, Cincinnati, OH 45202-3529 | 2019-09-26 |
| 1073082400 | Elizabeth Lim | Physician Assistant | 11150 Montgomery Rd, Cincinnati, OH 45249-2300 | 2018-11-14 |
| 1497238844 | Christopher Barton Hackett | Physician Assistant | 276 W Crest Dr, Cincinnati, OH 45215-3703 | 2018-09-12 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45242 |
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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.