SHAVONNE MAXIE


Address: 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040
Phone: 6103847711

SHAVONNE MAXIE (NPI# 1740795038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740795038
Entity Type Individual
Full Name SHAVONNE MAXIE
Credential RN
Practice Address 1400 Blackhorse Hill Rd
Coatesville
PA 19320-2040
Mailing Address 431 Grant Ave
Downingtown
PA 19335-3013
Practice Telephone 6103847711
Mailing Telephone 6104705711
Enumeration Date 2017-12-07
Last Update Date 2017-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 700451 PA Nursing Service Providers
N 163WH1000X Registered Nurse
Specialization: Hospice
700451 PA Nursing Service Providers
N 163WP0000X Registered Nurse
Specialization: Pain Management
700451 PA Nursing Service Providers
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
700451 PA Nursing Service Providers

Office Location

Street Address 1400 BLACKHORSE HILL RD
City COATESVILLE
State PA
Zip Code 19320-2040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114926177 Julia Ann Stone Psychologist 1400 Blackhorse Hill Rd, Coatesville Va Medical Center, Coatesville, PA 19320-2040 2005-07-20
1700485356 Abegale Lizabeth Nelson Pharmacist 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2020-10-23
1427657154 Amy Andreaggi Pharmacist 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2020-10-23
1710592464 Maura Marchese Social Worker 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2020-09-10
1902441157 Ashley Sutton Psychologist 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2019-11-12
1548823339 Brent Jeffery Jenkins Pharmacist 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2019-04-17
1689237646 Allison Webster Pharmacist 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2019-04-16
1063984086 Gina Lucchesi Social Worker 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2096 2019-01-02
1700358033 Brian Joseph Walters Social Worker 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2018-12-27
1386115418 Lori Ann Rathman Social Worker 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2018-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962029306 Ara Dadivanyan Psychiatry & Neurology 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 2020-07-01
1669098919 Sara Mostafa Psychiatry & Neurology Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 2020-06-23
1225654072 Laurie Bond Counselor 774 East Lincoln Highway, Coatesville, PA 19320 2020-06-17
1356964506 Timothy Robert Derosa Psychiatry & Neurology Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 2020-05-22
1184264632 Evolve Individual Services, LLC Counselor 135 E Chestnut St, 204, Coatesville, PA 19320 2020-01-13
1649824111 Angela Lynne Sylvina Social Worker 1825 E Lincoln Highway, Coatesville, PA 19320 2019-08-01
1629540257 Rhonda Jean Sanford Social Worker Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 2018-12-20
1528540499 Jetquatta Parker Licensed Practical Nurse 786 Coates St, Coatesville, PA 19320 2018-09-06
1639608052 Shafkat Hussain Pharmacist 800 East Lincoln Highway, Coatesville, PA 19320 2017-06-08
1790222032 Elizabeth Barnett Counselor 2034crest Dr, Coatesville, PA 19320 2017-01-25
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346864105 Amanda Jo Keffer Registered Nurse 615 E Mcmurray Rd Ste 1, Mc Murray, PA 15317-3497 2020-06-07
1437783545 Brad Michael Burns Registered Nurse 49 Kendall Ave, Pittsburgh, PA 15202-3930 2020-02-27
1558904813 Joseph Richard Gagnon Jr. Registered Nurse 3774 Ridge Pike Rear 2, Collegeville, PA 19426-3153 2019-10-18
1184270787 Raeann Carter Registered Nurse 100 N Bellefield Ave Rm 417, Pittsburgh, PA 15213-2600 2019-08-11
1023580644 Summer C Alonso Registered Nurse 10 E 6th Ave Ste 200, Conshohocken, PA 19428-1784 2018-12-20
1902375116 Ezioma C Onwukanjo Registered Nurse 215 Hunter Creek Dr, York, PA 17406-6022 2018-11-16
1467944199 Jacquelyn Marie Thayer Registered Nurse 2006 Bainbridge St Apt 2f, Philadelphia, PA 19146-1373 2018-05-30
1962911958 Deborah Marie Terchanik Registered Nurse 313 W High St Ste 211, Ebensburg, PA 15931-1549 2017-09-22
1528514080 Margaret Shepard Registered Nurse 12 E Princeton Rd, Bala Cynwyd, PA 19004-2241 2016-08-25
1861840498 Heather Case Registered Nurse 248 Lemoyne Ave, Pittsburgh, PA 15228-2262 2016-05-24
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Competitor

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City COATESVILLE
Zip Code 19320

Improve Information

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Dataset Information

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.

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