MR. SHAWNA DORENE AVERY (NPI# 1477613883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477613883 |
| Entity Type | Individual |
| Full Name | MR. SHAWNA DORENE AVERY |
| Credential | OTC |
| Practice Address |
1409 E Briggsmore Ave Modesto CA 95355-2707 |
| Practice Telephone | 2095216097 |
| Practice Fax Number | 2095724579 |
| Mailing Telephone | 2095216097 |
| Mailing Fax Number | 2095724579 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1409 E BRIGGSMORE AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290416 | Jaimie C Cossey | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2005-10-26 |
| 1235763228 | Sarah Shaheen | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2020-02-27 |
| 1306476908 | Anyka Kylene Kindy | Technician, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2020-01-22 |
| 1982260402 | John Bernard Mills Jr. | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2019-05-10 |
| 1619464666 | Barbara Jean Huizar | Specialist/Technologist, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2018-04-16 |
| 1346615150 | Sutter Valley Medical Foundation | Clinic/Center | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-12-04 |
| 1144695958 | Sutter Valley Medical Foundation | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-12-04 |
| 1669860110 | Brenda Mwesigwa | Registered Nurse | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-01-07 |
| 1861895278 | David Ronald Boone | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2014-09-30 |
| 1801226873 | Muhammad A Shafqet | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2013-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652544 | Liv & Eve Inc. | Technician, Other | 937 Coffee Rd Ste 800, Modesto, CA 95355-4240 | 2019-04-09 |
| 1477848869 | American Paramed | Technician, Other | 3817 Ruffed Grouse Ln, Modesto, CA 95355-8506 | 2011-06-14 |
| 1023298809 | Kom Chen | Technician, Other | 800 Scenic Dr. Bldg E, Modesto, CA 95350 | 2007-11-08 |
| 1073145140 | Cristian Brittney Mcclure | Technician, Other | 609 5th St, Modesto, CA 95351-3316 | 2020-02-06 |
| 1306476908 | Anyka Kylene Kindy | Technician, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2020-01-22 |
| 1750948048 | Sabrina Ann Howard | Technician, Other | 609 5th St, Modesto, CA 95351-3316 | 2019-05-22 |
| 1407354541 | Alexandra Serpa | Technician, Other | 2116 E Orangeburg Ave Ste A, Modesto, CA 95355-3370 | 2018-01-23 |
| 1285823781 | Mark William Quigley | Technician, Other | 1501 Claus Rd, Modesto, CA 95355-9711 | 2007-10-20 |
| 1255467791 | Myla June Dunne | Technician, Other | 1501 Oakdale Rd, Suite 301, Modesto, CA 95355-3381 | 2007-02-26 |
| 1043356827 | Karen Henriquez | Technician, Other | 609 E Orangeburg Ave, Modesto, CA 95350-5580 | 2007-01-29 |
| Find all providers in MODESTO | ||||
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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.