SHANDELON GARNER (NPI# 1649726290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649726290 |
| Entity Type | Individual |
| Full Name | SHANDELON GARNER |
| Credential | RN |
| Practice Address |
2240 Winrow Rd Fort Huachuca AZ 85613-5080 |
| Mailing Address |
127 Carlson Loop Fort Huachuca AZ 85613 |
| Practice Telephone | 5205335126 |
| Mailing Telephone | 3182185688 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-117468 | AL | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
186149 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RN LICENSE | 186149 | 01 |
| Street Address |
2240 WINROW RD |
| City | FORT HUACHUCA |
| State | AZ |
| Zip Code | 85613-5080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053462 | Mary Eastep Gilstrap | Dental Hygienist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2020-11-05 |
| 1154834844 | Paul G Foster | Dental Hygienist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2017-11-16 |
| 1376087551 | Melissa Jones | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-12-07 |
| 1841643558 | Kristine J Encinas | Licensed Vocational Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-07-18 |
| 1356791024 | Rashamel Smart | Dental Assistant | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-06-14 |
| 1285083170 | Annika Rose Dunmire | Dental Hygienist | 2240 Winrow Rd, Bldg 45505, Fort Huachuca, AZ 85613-5080 | 2016-06-10 |
| 1235588385 | Nicole Schiffer | Dental Hygienist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-06-09 |
| 1881048619 | Kay Chaparro | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-04-18 |
| 1700230935 | Deborah De La Ossa | Clinic/Center | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-04-13 |
| 1063873164 | Michelle Arrieta | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713794 | Robert Lee Kent Jr. | Registered Nurse | 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 | 2016-03-25 |
| 1548628662 | George Fauber | Licensed Practical Nurse | 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 | 2016-02-03 |
| 1013207810 | Gerald Michael Pastore | Counselor | 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 | 2011-04-13 |
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1013931484 | Mark Allen Hendrickson | Internal Medicine | Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 | 2006-07-27 |
| 1972538973 | Gail Pielack | Nurse Practitioner | Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 | 2006-07-11 |
| 1093755233 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 | 2006-06-07 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| Find all providers in zip 85613 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614134 | Rochelle Williams | Registered Nurse | 11454 E Quintana Ave, Mesa, AZ 85212-4103 | 2020-03-17 |
| 1184257537 | Frances Morris | Registered Nurse | 308 Hermosa Dr, Holbrook, AZ 86025-2031 | 2020-02-13 |
| 1902456833 | Marleah Olsen | Registered Nurse | 102 Medicine Way Rd., Peridot, AZ 85542-8554 | 2019-09-12 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588124093 | Jennifer Hanes | Registered Nurse | 828 N Slater, Mesa, AZ 85205-5862 | 2019-03-21 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1831500073 | Suzanne Gould | Registered Nurse | 4891 E Grant Rd, Tucson, AZ 85712-2704 | 2014-05-09 |
| 1356768493 | Melody Dawn Austin | Registered Nurse | 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382-5386 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT HUACHUCA |
| Zip Code | 85613 |
Please comment or provide details below to improve the information on SHANDELON GARNER.
| 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.