MISS SHANNON KIRSTEN WEBSTER (NPI# 1790006682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790006682 |
| Entity Type | Individual |
| Full Name | MISS SHANNON KIRSTEN WEBSTER |
| Credential | PA-C |
| Practice Address |
911 E 9 Mile Rd Ferndale MI 48220-1934 |
| Practice Telephone | 2483364000 |
| Practice Fax Number | 2483369137 |
| Mailing Telephone | 2483364000 |
| Mailing Fax Number | 2483369137 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 5601005506 | MI | Dietary & Nutritional Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005506 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255736807 | Shannon Webster | Licensed Practical Nurse | 911 N Farragut St, Bay City, MI 48708-6039 | 2014-10-24 |
| Street Address |
911 E 9 MILE RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815232 | Robert C Levine | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2005-10-20 |
| 1760013247 | Sphere Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2020-02-03 |
| 1497392005 | Kristin Nicole Iannotti | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-12-02 |
| 1396393856 | Sphere Orthopedics and Regenerative Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-08-28 |
| 1821551680 | Scott Edward Garavaglia | Physical Therapist | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-09 |
| 1790248821 | Frank Zuziak | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-06 |
| 1447720669 | Marilyn Nah Ngundam | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-11-30 |
| 1134610207 | Deena Chabaan | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-05-24 |
| 1417478025 | Jennifer Balint | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-07-05 |
| 1780111575 | Amber Sarah Kalabat | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306490 | Erin Michelle Maloney | Physician Assistant | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2005-06-20 |
| 1134610207 | Deena Chabaan | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-05-24 |
| 1417478025 | Jennifer Balint | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-07-05 |
| 1235513730 | Dina Grodzinskiy | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2015-07-14 |
| 1912394966 | Ashleigh Alexandria Finazzo | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2015-04-16 |
| 1669520029 | Sheila Marie Fluetsch | Physician Assistant | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.