WARREN SHADKO (NPI# 1538709092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538709092 |
| Entity Type | Individual |
| Full Name | WARREN SHADKO |
| Credential | PMHNP-BC |
| Practice Address |
224 Thompson St Pmb 218 Hendersonville NC 28792 |
| Practice Telephone | 8283839025 |
| Mailing Telephone | 8283839025 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
277126 | NC | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5012834 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
224 THOMPSON ST PMB 218 |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538203708 | Robin L Shepard | Physical Therapist | 224 Thompson St, #145, Hendersonville, NC 28792-2806 | 2007-02-19 |
| 1861958258 | Sherri Lynn Wilcox | Pharmacist | 224 Thompson St, Hendersonville, NC 28792-2806 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690187 | Mark Levi | Chiropractor | 1032 Greenville Hwy Ste B, Hendersonville, NC 28792 | 2018-05-23 |
| 1427548080 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 635 Greenville Hwy, Hendersonville, NC 28792 | 2018-05-18 |
| 1649721911 | Sara R Ross | Social Worker | 48 Reedy Ridge Road, Hendersonville, NC 28792 | 2016-10-20 |
| 1669856530 | Andrew Harrell | Dentist | 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 | 2015-07-10 |
| 1114329539 | Pardee Urgent Care | Clinic/Center | 212 Thompson Street, Hendersonville, NC 28792 | 2014-09-17 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1790035343 | Healthstat- Henderson County | Preventive Medicine | 211 1st Ave E., Hendersonville, NC 28792 | 2012-09-11 |
| 1578811188 | John Edward Kneedler | Physical Therapist | 600 Carolina Village Road, Hendersonville, NC 28792 | 2012-08-29 |
| 1962702845 | Rainbow Tree | In Home Supportive Care | 332 Signal Hill Road, Henderson, NC 28792 | 2010-10-26 |
| 1750600698 | Julie Ann Innes | Pharmacist | 3643 Howard Gap Road, Hendersonville, NC 28792 | 2010-05-17 |
| Find all providers in zip 28792 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780297473 | Natalie Gale Lewis | Nurse Practitioner | 800 N Justice St, Hendersonville, NC 28791-3410 | 2020-08-24 |
| 1255806519 | Sarah Paige Cox | Nurse Practitioner | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 2018-10-12 |
| 1053898536 | Susan Hines Caceres Araya | Nurse Practitioner | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 2018-07-26 |
| 1083081996 | Kathryn Sarah Sanford | Nurse Practitioner | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 2015-08-26 |
| 1427350420 | Christine Norton | Nurse Practitioner | 800 N Justice St, Hendersonville, NC 28791-3410 | 2010-11-23 |
| 1619287265 | Cecil A Turner IIi | Nurse Practitioner | 2579 Chimney Rock Rd, Hendersonville, NC 28792-9181 | 2010-10-18 |
| 1013099704 | Peggy M Bintz | Nurse Practitioner | 558 Fleming St, Ste A, Hendersonville, NC 28739-4216 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730078 | Leetisha Lawana Dunia | Nurse Practitioner | 538 Wood Point Dr, Lillington, NC 27546-5971 | 2020-11-06 |
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1902411499 | Solari Mental and Behavioral Health Services | Nurse Practitioner | 11206 Highcrest Dr, Huntersville, NC 28078-0610 | 2020-09-10 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1588277727 | Alison Stroh | Nurse Practitioner | 1313 Banyon Grove Loop, Cary, NC 27513-3936 | 2020-08-27 |
| 1902417488 | Erin Klender Pllc | Nurse Practitioner | 12106 Willingdon Rd, Huntersville, NC 28078-5520 | 2020-08-10 |
| 1407466824 | Theresa Uju Ofoemezie | Nurse Practitioner | 250 S San Agustin Dr, Mooresville, NC 28117-8581 | 2020-08-01 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 28792 |
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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.