SHANNON NICOLE CORNELL (NPI# 1669734687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669734687 |
| Entity Type | Individual |
| Full Name | SHANNON NICOLE CORNELL |
| Credential | M.S. |
| Practice Address |
483 Fordham Rd Wenonah NJ 08090-1227 |
| Practice Telephone | 8568891505 |
| Mailing Telephone | 8568891505 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2015-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872994 | Shannon Cornell | Behavior Technician | 1630 E Shaw Ave Ste 190, Fresno, CA 93710-8114 | 2019-03-25 |
| 1679951990 | Shannon Cornell | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2015-05-07 |
| 1942594296 | Shannon Lin Cornell | Pharmacist | 10302 156th St E, Pharmacy Dept, Puyallup, WA 98374-9321 | 2011-06-03 |
| Street Address |
483 FORDHAM RD |
| City | WENONAH |
| State | NJ |
| Zip Code | 08090-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841782455 | Melissa Margarita Collins | Nurse Practitioner | 1050 Mantua Pike Fl 1, Wenonah, NJ 08090 | 2018-05-31 |
| 1821473596 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 N. Clinton Avenue, Wenonah, NJ 08090 | 2015-07-23 |
| 1265697429 | Dana Lynn Biermann Flynn | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2008-07-26 |
| 1861560336 | Tamika Lillian Jones | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2006-12-01 |
| 1962650457 | West Deptford Animal Hospital | Veterinarian | 1044 Mantua Pike, Rt 45, Wenonah, NJ 08090-1124 | 2008-09-09 |
| 1285726901 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1098 Mantua Pike, Wenonah, NJ 08090-1124 | 2006-09-29 |
| 1306496013 | April Digiannantonio | Social Worker | 607 Vassar Rd, Wenonah, NJ 08090-1136 | 2019-09-14 |
| 1205912144 | Benjamin George Piantedosi | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2006-10-31 |
| 1639649981 | Brandon Francis Tunstall | Nurse Practitioner | 1050 Mantua Pike, Wenonah, NJ 08090-1141 | 2018-11-29 |
| 1235670811 | Woodbury Dental Associates Pa | Dentist | 1050 Mantua Pike, Wenonah, NJ 08090-1141 | 2017-03-15 |
| Find all providers in zip 08090 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042525 | Haydee Pimentel | Counselor | 1306 Fox Run Dr, Plainsboro, NJ 08536-2665 | 2020-10-27 |
| 1750981197 | Timothy Lowe | Counselor | 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | 2020-10-26 |
| 1417556069 | Nancy W Bodnar | Counselor | 52 Long Hill Rd, Long Valley, NJ 07853-3074 | 2020-10-23 |
| 1497354260 | Michele Marie Bruce | Counselor | 5 Horizon Rd Apt 306, Fort Lee, NJ 07024-6627 | 2020-10-22 |
| 1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
| 1285232702 | Guided Growth Therapy, LLC | Counselor | 230 Kings Hwy E Ste 140, Haddonfield, NJ 08033-1907 | 2020-10-16 |
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1952908261 | Kathryn Vetrano | Counselor | 12 Lakeview St, River Edge, NJ 07661-1720 | 2020-10-08 |
| 1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| 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.