ALICIA MARIE SHANKS (NPI# 1659399004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659399004 |
| Entity Type | Individual |
| Full Name | ALICIA MARIE SHANKS |
| Practice Address |
1511 W Broad St Columbus OH 43222-1000 |
| Practice Telephone | 6142223525 |
| Practice Fax Number | 6142223608 |
| Mailing Telephone | 6142223525 |
| Mailing Fax Number | 6142223608 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN08809 | OH | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN302973 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2625805 | 05 |
| Street Address |
1511 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43222-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021806 | Kristina Maria Busser | Nurse Practitioner | 1511 W Broad St, Columbus, OH 43222-1000 | 2019-06-11 |
| 1215458054 | Alden Jane Gilliom | Nurse Practitioner | 1511 W Broad St, Columbus, OH 43222-1000 | 2017-07-02 |
| 1457735136 | Virginia Leah King | Registered Nurse | 1511 W Broad St, Columbus, OH 43222-1000 | 2015-07-13 |
| 1992147110 | Aashka Patel | Nurse Practitioner | 1511 W Broad St, Columbus, OH 43222-1000 | 2013-07-30 |
| 1205965753 | Planned Parenthood of Greater Ohio | Clinic/Center | 1511 W Broad St, Columbus, OH 43222-1000 | 2007-03-02 |
| 1740208974 | Johanna Colleen Taylor | Registered Nurse | 1511 W Broad St, Columbus, OH 43222-1000 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447893284 | Columbus Neighborhood Health Center, Inc. Dba Primaryone Health | Clinic/Center | 730 W. Town Street, Columbus, OH 43222 | 2019-10-24 |
| 1760037006 | New Hope Behavioral Health, LLC | Counselor | 775 W. Broad St., Suite 210, Columbus, OH 43222 | 2019-08-05 |
| 1649623208 | Carol Leslie Eppler | Social Worker | 1251 W. Broad St, Maryhaven@lower Lights Christian Health Center, Columbus, OH 43222 | 2016-07-19 |
| 1457770471 | Hareesh Venkata Singam | Student in an Organized Health Care Education/Training Program | 793 W. State St., Columbus, OH 43222 | 2014-04-08 |
| 1629243373 | Jeffrey Eric Salon | Internal Medicine | 745 West State, Suite 610, Columbus, OH 43222 | 2008-04-24 |
| 1821110693 | Ashita Sinha | Hospitalist | 793 W.state St., Mount Carmel Hospital ( Columbus Inpatient Care Group), Columbus, OH 43222 | 2007-04-04 |
| 1124194204 | Mary Elizabeth Sparks | Social Worker | 1810 Sullivant Ave, Columbus, OH 43222 | 2006-11-28 |
| 1437222346 | Brandie M Price | Registered Nurse | 793 West State St, Columbus, OH 43222 | 2006-11-16 |
| 1467535641 | Bernard Andrew Bronczyk | Family Medicine | 1601 W Broad, Columbus, OH 43222 | 2006-10-23 |
| 1245328251 | Neil Alan Miller | Registered Nurse | 793 W State Street, Mt Carmel Medical Center, Columbus, OH 43222 | 2006-10-11 |
| Find all providers in zip 43222 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604299 | Tiffany Messerall | Nurse Practitioner | 1577 Guilford Rd, Columbus, OH 43221-3850 | 2019-05-15 |
| 1730525965 | Heather Diane Hanegan | Nurse Practitioner | 460 W 10th Ave Fl 20, Columbus, OH 43210-1240 | 2013-05-15 |
| 1417208190 | Linda M Newhouse | Nurse Practitioner | 726 Chelsea Ave, Columbus, OH 43209-2508 | 2012-09-21 |
| 1598783805 | Susan Bluestone | Nurse Practitioner | 206 E State St, Columbus, OH 43215-4311 | 2006-07-17 |
| 1316972029 | Pamela Rae Spencer | Nurse Practitioner | 2450 N Park Dr Ste A, Columbus, IN 47203-2292 | 2006-07-11 |
| 1639712946 | Asheena Lee Kuhn | Nurse Practitioner | 2365 Innis Rd, Columbus, OH 43224-3730 | 2019-10-21 |
| 1568021806 | Kristina Maria Busser | Nurse Practitioner | 1511 W Broad St, Columbus, OH 43222-1000 | 2019-06-11 |
| 1689135030 | Brooke Taylor Jasinski | Nurse Practitioner | 3525 Olentangy River Rd Ste 6350, Columbus, OH 43214-3962 | 2019-03-28 |
| 1316412281 | Jamie Watson Hensley | Nurse Practitioner | 240 Parsons Ave, Columbus, OH 43215-5331 | 2018-10-08 |
| 1538654744 | Kelly Ware | Nurse Practitioner | 921 Jasonway Ave Ste B, Columbus, OH 43214-2456 | 2018-06-29 |
| Find all providers in COLUMBUS | ||||
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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.