MS. SANDRA KATHRYN SHOCKEY (NPI# 1679706469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679706469 |
Entity Type | Individual |
Full Name | MS. SANDRA KATHRYN SHOCKEY |
Credential | APRN (C/NP) |
Practice Address |
800 Grand Central Mall Suite 11 Vienna WV 26105-4100 |
Mailing Address |
2507 27th St Parkersburg WV 26104-2720 |
Practice Telephone | 3049161270 |
Practice Fax Number | 3049161274 |
Mailing Telephone | 3048937000 |
Enumeration Date | 2009-08-27 |
Last Update Date | 2019-01-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
38437 | WV | Nursing Service Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
38437 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
800 GRAND CENTRAL MALL SUITE 11 |
City | VIENNA |
State | WV |
Zip Code | 26105-4100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051390 | Robert Randal Heavner | Family Medicine | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | 2005-05-24 |
1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
1982080057 | Amanda Holman | Registered Nurse | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2015-07-30 |
1073903373 | Mid-ohio Valley Nephrology Association | Family Medicine | 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 | 2015-01-26 |
1801204003 | William A Cline, Do, Pllc | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2014-07-31 |
1932459542 | Heather Nichole Nutter | Audiologist | 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 | 2012-09-12 |
1215284997 | Pamela J Parker | Nurse Practitioner | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2012-08-13 |
1609139906 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 | 2012-06-21 |
1720368483 | Matthew Dean Sells | Physical Therapist | 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 | 2011-08-25 |
1265732093 | Megan Ann Fluharty | Physician Assistant | 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 | 2010-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
1356772677 | Drs. Krajekian,brock & Henderson Inc | Dentist | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 | 2013-12-12 |
Find all providers in zip 26105 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104010800 | Daniel Steven Summers | Registered Nurse | 890 Bryce St, Elkview, WV 25071-9307 | 2007-09-05 |
1447653217 | Jodi Stollings | Registered Nurse | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2014-10-07 |
1881015352 | Jenine Gardner | Registered Nurse | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2013-12-30 |
1619398211 | Joyce Compton | Registered Nurse | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2013-12-27 |
1679767032 | Beth Ann Pritchett | Registered Nurse | Rr 2 Box 378, Bluefield, WV 24701-9644 | 2007-08-29 |
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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.