MRS. MEGHAN J SHACKELFORD (NPI# 1598053621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598053621 |
| Entity Type | Individual |
| Full Name | MRS. MEGHAN J SHACKELFORD |
| Credential | CRNP |
| Practice Address |
600 N. Wolfe St Baltimore MD 21284 |
| Mailing Address |
612 Glen Arbor Ct Seven Valleys PA 17360 |
| Practice Telephone | 4109555260 |
| Mailing Telephone | 4434152903 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
R170221 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 N. WOLFE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366699076 | Sally Long | Clinical Neuropsychologist | 600 N. Wolfe St, Meyer 218, Baltimore, MD 21287-7218 | 2008-08-25 |
| 1114289667 | Crisanto Morton Torres | Surgery | 600 N. Wolfe St, Osler 603, Baltimore, MD 21287 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1568063337 | Rapid Heartbeatllc | In Home Supportive Care | 3200 Reisterstown Rd Ste B, Baltimore, MD 21215-8064 | 2020-11-06 |
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1477154482 | Inner Alchemy LLC | Counselor | 629 S Streeper St, Baltimore, MD 21224-3831 | 2020-11-05 |
| 1942801915 | Cheldone Levonne Jones | Social Worker | 1900 N Howard St # 300, Baltimore, MD 21218-5909 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1558962761 | Altimax Home Care, LLC | In Home Supportive Care | 2141 Huntingdon Ave, Baltimore, MD 21211-3210 | 2020-11-04 |
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| Find all providers in BALTIMORE | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982190567 | Consuela Scott Thompson | Nurse Practitioner | 1800 Orleans St Rm 2201, Baltimore, MD 21287-0010 | 2018-07-06 |
| 1285051896 | Elena Bertolino | Nurse Practitioner | 1800 Orleans St Ste 6320, Baltimore, MD 21287-4904 | 2014-03-20 |
| 1447672308 | Traci Elizabeth Antes | Nurse Practitioner | 1800 New Orleans St, Suite 6302, Baltimore, MD 21287-4904 | 2014-01-13 |
| 1417022294 | Ann Marie Felauer | Nurse Practitioner | 655 W Lombard Street, Suite 575c, Baltimore, MD 21201-4837 | 2006-11-21 |
| 1316418908 | Patricia Dix | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2018-12-08 |
| 1427536267 | Sarah Keaney | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1590 | 2018-08-03 |
| 1699281576 | Elise Buckwalter | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-12-14 |
| 1265969141 | Christina Bradley Graham | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2017-05-22 |
| 1891235214 | Lauren Booth | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2017-03-03 |
| 1023477387 | Kerith E Hiatt | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-02-15 |
| Find all providers in BALTIMORE | ||||
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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.