SHAVONNE MAXIE (NPI# 1740795038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1400 BLACKHORSE HILL RD |
City | COATESVILLE |
State | PA |
Zip Code | 19320-2040 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19320 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | COATESVILLE |
Zip Code | 19320 |
Please comment or provide details below to improve the information on SHAVONNE MAXIE.
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.