SHANNON CORNELL (NPI# 1679951990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679951990 |
| Entity Type | Individual |
| Full Name | SHANNON CORNELL |
| Credential | NP |
| Practice Address |
115 N Sumter St Ste 410 Sumter SC 29150-4969 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8037749797 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
22165 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN.0991755-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP5392 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669734687 | Shannon Nicole Cornell | Counselor | 483 Fordham Rd, Wenonah, NJ 08090-1227 | 2012-06-14 |
| 1053872994 | Shannon Cornell | Behavior Technician | 1630 E Shaw Ave Ste 190, Fresno, CA 93710-8114 | 2019-03-25 |
| 1942594296 | Shannon Lin Cornell | Pharmacist | 10302 156th St E, Pharmacy Dept, Puyallup, WA 98374-9321 | 2011-06-03 |
| Street Address |
115 N SUMTER ST STE 410 |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528031531 | William S Stavrou | Internal Medicine | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2006-02-09 |
| 1033741590 | Margaret Conant Britt | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150-4969 | 2020-02-12 |
| 1205368230 | Cameron Thomasson | Nurse Practitioner | 115 N Sumter St Ste 410, Sumter, SC 29150 | 2017-03-29 |
| 1891704474 | Francis Roosevelt Gilliam IIi | Internal Medicine | 115 N Sumter St Ste 410, Sumter, SC 29150 | 2006-08-05 |
| 1063473684 | John D Rozich | Internal Medicine | 115 N Sumter St Ste 410, Sumter, SC 29150 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1285899146 | Elizabeth Ann Vandevelde | Nurse Practitioner | 129 North Washington, Tuomey Healthcare System, Sumter, SC 29152 | 2008-07-21 |
| 1326000837 | Deborah Lee Struchen | Nurse Practitioner | 625 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-04-03 |
| 1558991711 | Jamie Solaine Shorter | Nurse Practitioner | 115 N Sumter St, Sumter, SC 29150-4972 | 2020-01-16 |
| 1033612627 | Megan Crandall Lybrand | Nurse Practitioner | 129 N Washington St, Sumter, SC 29150 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| 1912406026 | Darrell Quick | Nurse Practitioner | 2145 Carriage Place Dr, Florence, SC 29505-6865 | 2018-02-04 |
| 1518473115 | Takeela Kinard | Nurse Practitioner | 1842 St Michaels Rd, Columbia, SC 29210-6140 | 2017-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON CORNELL.
| 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.