SHANNON MICHELLE JETTON (NPI# 1710543939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710543939 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELLE JETTON |
| Credential | FNP-C |
| Practice Address |
1215 E Court St Seguin TX 78155-5129 |
| Mailing Address |
521 Tom Kemp Dr New Braunfels TX 78130-3388 |
| Practice Telephone | 8303792411 |
| Mailing Telephone | 2102154045 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP141202 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1215 E COURT ST |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088123 | Guadalupe County Hospital Board | General Acute Care Hospital | 1215 E Court St, Seguin, TX 78155-5129 | 2005-07-28 |
| 1134733652 | Sterling Smith | Nurse Practitioner | 1215 E Court St, Seguin, TX 78155-5129 | 2020-09-02 |
| 1780229948 | Makenzi Burke | Physician Assistant | 1215 E Court St, Seguin, TX 78155-5129 | 2019-11-12 |
| 1942764832 | Russell Wayne Steitle | Nurse Practitioner | 1215 E Court St, Seguin, TX 78155-5129 | 2019-01-25 |
| 1760847149 | Lori Ann Redix | Nurse Anesthetist, Certified Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2015-12-29 |
| 1790161875 | Matthew Woelk | Dietitian, Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2015-07-30 |
| 1487040028 | Jessica Drees | Dietitian, Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2015-04-10 |
| 1194128108 | Robyn Ann Majors | Dietitian, Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2014-10-04 |
| 1447510011 | Juan Enrrique Arenas-herrera | Internal Medicine | 1215 E Court St, Seguin, TX 78155-5129 | 2012-05-17 |
| 1205194537 | Michael Richard Mathews II | Nurse Anesthetist, Certified Registered | 1215 E Court St, Seguin, TX 78155-5129 | 2012-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431622 | Tracie Young | Nurse Practitioner | 1255 Ashby St Ste G, Seguin, TX 78155-5100 | 2019-11-15 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1376786996 | Asiil, LLC | Nurse Practitioner | 510 E Court St, Seguin Cboc, Seguin, TX 78155-5712 | 2009-04-13 |
| 1174710040 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1410 E Walnut St, Seguin, TX 78155-5175 | 2007-09-25 |
| 1912520503 | Carolyn Noyes | Nurse Practitioner | 411 S King St, Seguin, TX 78155-5838 | 2020-05-19 |
| 1164070652 | Monica Cruz-guel | Nurse Practitioner | 1483 E Court St, Seguin, TX 78155-5165 | 2019-08-28 |
| 1073173746 | Megan Dlynn Wenzel | Nurse Practitioner | 1414 E Walnut St, Seguin, TX 78155-5175 | 2019-06-15 |
| 1467943944 | Abigail Lauren Steck | Nurse Practitioner | 411 S King St, Seguin, TX 78155-5838 | 2018-05-21 |
| 1891225934 | Gwendolyn M Hendricks | Nurse Practitioner | 411 S King St, Seguin, TX 78155-5838 | 2017-06-12 |
| 1679704902 | Erin Michelle Witte Fudge | Nurse Practitioner | 1025 N Austin St, Seguin, TX 78155-4517 | 2009-08-04 |
| Find all providers in SEGUIN | ||||
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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.