SHANNON D PARKS (NPI# 1598308389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598308389 |
| Entity Type | Individual |
| Full Name | SHANNON D PARKS |
| Credential | APN |
| Practice Address |
620 N Main St Hoyleton IL 62803-2046 |
| Practice Telephone | 6183146266 |
| Mailing Telephone | 6183146266 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020223 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225868 | Shannon R Parks | Dietitian, Registered | 902 Plaza St, Clearwater, FL 33755-4446 | 2020-05-01 |
| 1962631457 | Shannon Parks | Psychiatry & Neurology | 55 N Gilbert St, Suite 2203, Tinton Falls, NJ 07701-4904 | 2009-07-07 |
| Street Address |
620 N MAIN ST |
| City | HOYLETON |
| State | IL |
| Zip Code | 62803-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093961930 | Denise L Orrill | Nurse Practitioner | 620 N Main St, Hoyleton, IL 62803-2046 | 2008-08-12 |
| 1295940062 | Irvington Township Rural Health Clinic LLC | Family Medicine | 620 N Main St, Hoyleton, IL 62803-2046 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134477086 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 157 East Elm Street, Hoyleton, IL 62803 | 2012-08-27 |
| 1588912430 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 286 North Center Street, Hoyleton, IL 62803 | 2012-08-27 |
| 1548535453 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 E Elm, Hoyleton, IL 62803 | 2012-03-12 |
| 1306111299 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 53 E Elm St, Hoyleton, IL 62803 | 2012-03-12 |
| 1851666747 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 E Elm St, Hoyleton, IL 62803 | 2012-03-12 |
| 1043585938 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 365 N Park St, Hoyleton, IL 62803 | 2012-03-12 |
| 1902962723 | Progressive Housing, Inc. | Intermediate Care Facility, Mentally Retarded | 120 Locust Street, Hoyleton, IL 62803 | 2006-12-28 |
| 1154487742 | Progressive Housing, Inc. | Intermediate Care Facility, Mentally Retarded | 620 N. Main Street, Hoyleton, IL 62803 | 2006-12-28 |
| 1497020382 | Hoyleton Youth and Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 395 N Main St, Hoyleton, IL 62803 | 2012-03-12 |
| 1346633153 | Debbie Gibbs | Social Worker | 350 N Main St, Hoyleton, IL 62803-2006 | 2015-03-18 |
| Find all providers in zip 62803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093961930 | Denise L Orrill | Nurse Practitioner | 620 N Main St, Hoyleton, IL 62803-2046 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.