GRETCHEN SHAHAN (NPI# 1669861233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669861233 |
| Entity Type | Individual |
| Full Name | GRETCHEN SHAHAN |
| Practice Address |
1311 Brandywine Blvd Wilmington DE 19809-2306 |
| Mailing Address |
2716 Keswick Ct Wilmington DE 19808-3633 |
| Practice Telephone | 3027935072 |
| Mailing Telephone | 3027935072 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
J1-0001643 | DE | Ambulatory Health Care Facilities |
| Street Address |
1311 BRANDYWINE BLVD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19809-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144364027 | Tracy Seth | Registered Nurse | 1311 Brandywine Blvd, Wilmington, Wilmington, DE 19809-2306 | 2007-02-16 |
| 1144821372 | Sarah Elizabeth Cifone | Physical Therapist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-11-04 |
| 1538769591 | Julie Curatolo | Occupational Therapist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-10-29 |
| 1396345781 | Jenna Price | Occupational Therapist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-10-27 |
| 1831798156 | Claire Reardon | Speech-Language Pathologist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-10-19 |
| 1093314312 | Colby Eldridge | Speech-Language Pathologist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-10-19 |
| 1508465915 | Amberlynn Habich | Speech-Language Pathologist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-10-19 |
| 1164020723 | Ruby Gift | Speech-Language Pathologist | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-10-15 |
| 1326653361 | Gabriela Fioravanti | Registered Nurse | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-09-15 |
| 1174163836 | Michelle Scott | Registered Nurse | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881199693 | Raquel Ilanit Huerta | Counselor | 2100 Haven Rd, Apt C, Wilmington, DE 19809 | 2018-03-26 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1659882850 | Mackenzie Chrisco | Physical Therapist | 606 Greenfield Pl, Wilmington, DE 19809 | 2017-10-16 |
| 1588173207 | Tracy Marie Washington | Social Worker | 221 Philadelphia Pike, Suite 4, Wilmington, DE 19809 | 2017-09-26 |
| 1053766907 | Jacqueline Galya | Occupational Therapist | 510 Duncan Road, Wilmington, DE 19809 | 2016-04-28 |
| 1205290566 | Kathleen Welsh | Behavioral Analyst | 210 Bellefonte, Wilmington, DE 19809 | 2016-04-12 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1831457415 | Faye Catherine Dube | Counselor | 501 Silverside Road, Suite 50, Wilmington, DE 19809 | 2012-05-02 |
| 1972876977 | Iris Drane | Counselor | 314 Brandywine Blvd., Wilmington, DE 19809 | 2012-02-22 |
| 1821315110 | Mary Lauren Lewis Janusz | Occupational Therapist | 800 Carr Road, Wilmington, DE 19809 | 2010-04-26 |
| Find all providers in zip 19809 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063696565 | Lowe Family Care Home #3 | Clinic/Center | 136 Mcquillan Dr, Wilmington, NC 28412-3110 | 2007-12-20 |
| 1528541273 | Lindsey Susanne Mantz | Clinic/Center | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2018-09-10 |
| 1912456849 | Melissa Weyl | Clinic/Center | 1502 Spruce Ave, Wilmington, DE 19805-2148 | 2016-10-04 |
| 1679937122 | Medical Massage of Delaware | Clinic/Center | 234 Philadelphia Pike, Wilmington, DE 19809-3126 | 2016-04-11 |
| 1285094953 | Bodytech Acupuncture | Clinic/Center | 109 Hinton Ave, # 10, Wilmington, NC 28403-4786 | 2016-02-24 |
| 1114305976 | Practice Without Pressure Pike Creek | Clinic/Center | 3105 Limestone Rd, Suite 210, Wilmington, DE 19808-2147 | 2015-05-13 |
| 1346669850 | Wilmington Vamc | Clinic/Center | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2014-04-11 |
| 1376960971 | Student Health Center La Harbor College | Clinic/Center | 1111 Figueroa Pl, Cafe 110, Wilmington, CA 90744-2311 | 2014-03-21 |
| 1467887224 | New Hanover Community Health Center Dba Mednorth Health Center | Clinic/Center | 925 N 4th St, Wilmington, NC 28401-3450 | 2013-09-11 |
| 1023251683 | Hyperbaric Health, LLC | Clinic/Center | 6303 Oleander Dr Ste 102a, Wilmington, NC 28403-3577 | 2009-04-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19809 |
Please comment or provide details below to improve the information on GRETCHEN SHAHAN.
| 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.