MS. SHANNON DAUGHERTY (NPI# 1669441044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669441044 |
| Entity Type | Individual |
| Full Name | MS. SHANNON DAUGHERTY |
| Credential | NP |
| Practice Address |
31 Arnot Rd Suite A Horseheads NY 14845-8533 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6077393874 |
| Practice Fax Number | 6077393632 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F320015-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RR MEDICARE PIN | P00098788 | 01 |
| NY | 02388796 | 05 | |
| NY | RR MEDICARE GROUP | CC8362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595558 | Shannon Daugherty | Technician | 2601 Unity Pl, Parkersburg, WV 26101-7169 | 2020-07-17 |
| 1396287207 | Shannon Daugherty | Social Worker | 1904 Se Division St, Portland, OR 97202-1146 | 2016-11-08 |
| Street Address |
31 ARNOT RD SUITE A |
| City | HORSEHEADS |
| State | NY |
| Zip Code | 14845-8533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557437 | Rinoo Vasant Shah | Anesthesiology | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2005-06-08 |
| 1609412774 | Jennilee Rose Brinks | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2019-11-22 |
| 1073163101 | Kate Susanne Larrabee | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2019-09-20 |
| 1164076907 | Heather Abdalla | Family Medicine | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2019-07-30 |
| 1710405030 | Christopher C Wawrzusin | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2017-09-07 |
| 1518342484 | Sarah L. Matera | Physician Assistant | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2015-07-21 |
| 1518349547 | Leigh Anne Dries | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845 | 2015-06-25 |
| 1457748766 | Osman Amin | Preventive Medicine | 31 Arnot Rd, Horseheads, NY 14845 | 2015-04-24 |
| 1891121745 | Guthrie Health | Durable Medical Equipment & Medical Supplies | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2013-09-24 |
| 1538495114 | Guthrie Clinic Ltd | Clinic/Center | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144883919 | Sarika Pandharinath Ballari | Student in an Organized Health Care Education/Training Program | 342 Wexford Lane, Horseheads, NY 14845 | 2019-04-17 |
| 1679091227 | J Pain & Spine Care | Neurological Surgery | 217 Old Ithaca Rd, Horseheads, NY 14845 | 2017-09-05 |
| 1477077683 | David Allan Moore | Taxi | 3159 Lake Road, Horseheads, NY 14845 | 2017-07-29 |
| 1154877702 | Barnes Chiropractic, Pllc | Chiropractor | 301 W. Broad St., Horseheads, NY 14845 | 2016-09-01 |
| 1871048538 | Jeanette Marie Walrath | Nurse Practitioner | 3344 Chambers Road, Suite 200, Horseheads, NY 14845 | 2016-08-23 |
| 1861820565 | Susan Elaine Sager | Registered Nurse | 950 Sing Sing Road, Horseheads Middle School, Horseheads, NY 14845 | 2013-10-16 |
| 1083963599 | Rachael Kristen Burke | Licensed Practical Nurse | 722 Taylor Rd, Horseheads, NY 14845 | 2012-08-30 |
| 1386910990 | Angela Christina Bahlatzis | Physician Assistant | 309 Scenic View, Horseheads, NY 14845 | 2012-03-28 |
| 1316214398 | Carol Callahan | Licensed Practical Nurse | 401 Fletcher St., Horseheads, NY 14845 | 2011-11-19 |
| 1194020255 | Jean M Sheahan | Occupational Therapist | One Raider Lane, Horseheads, NY 14845 | 2011-01-21 |
| Find all providers in zip 14845 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629598370 | Stephanie Nicole Russell | Nurse Practitioner | 2977 Westinghouse Rd Ste 3, Horseheads, NY 14845-8120 | 2017-06-23 |
| 1356981021 | Sharon Spears | Nurse Practitioner | 3344 Chambers Rd, Horseheads, NY 14845-1403 | 2020-01-10 |
| 1710405030 | Christopher C Wawrzusin | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2017-09-07 |
| 1659752814 | Amy Hilliker | Nurse Practitioner | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2015-06-14 |
| 1487916979 | Rebecca Lynn Bjorck | Nurse Practitioner | 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 | 2012-06-12 |
| 1336428671 | Rebecca O Fears | Nurse Practitioner | 100 John Roemmelt Dr, Suite 300, Horseheads, NY 14845-8301 | 2011-08-04 |
| 1851608384 | Robyn L Hoffman | Nurse Practitioner | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2010-09-03 |
| 1316098502 | Shirley J Glann | Nurse Practitioner | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2007-01-15 |
| 1740338490 | Tina L Burt | Nurse Practitioner | 100 John Roemmelt Dr, Suite 301, Horseheads, NY 14845-8301 | 2007-01-08 |
| 1639248768 | Deborah L. Pribulick | Nurse Practitioner | 31 Arnot Rd, Horseheads, NY 14845-8533 | 2006-11-06 |
| Find all providers in HORSEHEADS | ||||
| City | HORSEHEADS |
| Zip Code | 14845 |
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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.