SHANNA NICOLE QUICENO (NPI# 1639683550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639683550 |
| Entity Type | Individual |
| Full Name | SHANNA NICOLE QUICENO |
| Other Name | SHANNA NICOLE HAMMOCK |
| Practice Address |
9689 N Belfort Cir Tamarac FL 33321-1887 |
| Practice Telephone | 9548503351 |
| Mailing Telephone | 9548503351 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9689 N BELFORT CIR |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-1887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| 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 |
|---|---|---|---|---|
| 1316458664 | Tierra S Crooks | Technician, Other | 5715 Nw 48th Ter, Tamarac, FL 33319-2805 | 2017-10-13 |
| 1003332537 | Nicole Elise Cavallo | Technician, Other | 7306 Nw 94th Way, Tamarac, FL 33321-2317 | 2017-08-16 |
| 1477087328 | Maria Ramirez | Technician, Other | 6024 Nw 80th Ave, Tamarac, FL 33321-4628 | 2017-04-18 |
| 1427263599 | Bruce Wayne Carlson | Technician, Other | 5946 Nw 88th Ave, Tamarac, FL 33321-4268 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1376158188 | Michael Blake Atlas | Technician, Other | 1242 Ginger Cir, Weston, FL 33326-3627 | 2020-09-09 |
| 1104439579 | Amaury Li | Technician, Other | 265 Highgate Park Blvd, Davenport, FL 33897-7732 | 2020-08-26 |
| 1831709864 | Odayme Sanchez | Technician, Other | 11520 Sw 57th Ter, Miami, FL 33173-1012 | 2020-08-04 |
| 1700496106 | Ilia De Los Angeles Diaz Moure | Technician, Other | 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 | 2020-07-31 |
| 1619585932 | Skyler Mebane | Technician, Other | 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 | 2020-07-22 |
| 1568092112 | Charity Marie Majors | Technician, Other | 714 Venetian Way, Panama City, FL 32405-7502 | 2020-01-23 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
| 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.