SHANNA D. KOZAK (NPI# 1497053714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497053714 |
| Entity Type | Individual |
| Full Name | SHANNA D. KOZAK |
| Credential | APRN |
| Practice Address |
250 Park Street Bowling Green KY 42101-1780 |
| Practice Telephone | 2707966540 |
| Practice Fax Number | 2707966576 |
| Mailing Telephone | 2707966540 |
| Mailing Fax Number | 2707966576 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3006749 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3006749 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
15685 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 PARK STREET |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613141 | Springfield Radiology Associates, PC | Radiology | 250 Park Street, Bowling Green, KY 42101-1760 | 2006-01-10 |
| 1124332200 | Walker T. Edwards | Internal Medicine | 250 Park Street, Bowling Green, KY 42101-1784 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1710542477 | Amy Andrews Whitler | Nurse Practitioner | 720 2nd Ave Ste 301, Bowling Green, KY 42101-1778 | 2019-05-07 |
| 1568960862 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 825 2nd Ave Ste B2, Bowling Green, KY 42101-1790 | 2018-02-01 |
| 1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
| 1629522404 | Np Primary Care Clinical Services | Nurse Practitioner | 1214 Herrington St, Bowling Green, KY 42104-3235 | 2016-08-09 |
| 1548645203 | Alyse M Snider | Nurse Practitioner | 1180 N Main St Ste 5, Bowling Green, OH 43402-4932 | 2015-07-23 |
| 1679607188 | Terry M. Jepson | Nurse Practitioner | 2710 Nashville Rd, Bowling Green, KY 42101-5375 | 2007-03-15 |
| 1124101332 | Gina K Clark | Nurse Practitioner | 990 Wilkinson Trce Ste 100, Bowling Green, KY 42103-3404 | 2006-10-23 |
| 1609841527 | Paula A Johnson | Nurse Practitioner | 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | 2006-02-22 |
| 1619968542 | Daltrey Anne Tyree | Nurse Practitioner | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2005-10-31 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on SHANNA D. KOZAK.
| 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.