MARY SHERIDAN (NPI# 1790741775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790741775 |
| Entity Type | Individual |
| Full Name | MARY SHERIDAN |
| Credential | NNP |
| Practice Address |
830 Pennsylvania Ave Suite 406 Charleston WV 25302-3302 |
| Mailing Address |
105 Deming Dr Charleston WV 25314-1013 |
| Practice Telephone | 3043882238 |
| Practice Fax Number | 3043882618 |
| Mailing Telephone | 3043882238 |
| Mailing Fax Number | 3043882618 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
43685 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063878338 | Mary B. Sheridan | Social Worker | 12760 W 87th Street Pkwy, Suite 108, Lenexa, KS 66215-4635 | 2016-01-02 |
| 1508247891 | Mary Elizabeth Sheridan | Counselor | 821 E Railroad Ave, Fort Morgan, CO 80701-3365 | 2015-06-12 |
| 1275878548 | Mary Rachel Sheridan | Registered Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-11-28 |
| 1700091717 | Mary Sheridan | Optometrist | 1545 Waukegan Rd, Glenview, IL 60025-2166 | 2007-05-12 |
| 1922124171 | Mary E Sheridan | Advanced Practice Midwife | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-03-21 |
| 1336109040 | Mary E Sheridan | Physician Assistant | 400 E 5th Ave, Spokane, WA 99202-1334 | 2006-03-25 |
| Street Address |
830 PENNSYLVANIA AVE SUITE 406 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253497 | Scott Alan Naegele | Obstetrics & Gynecology | 830 Pennsylvania Ave, Suite 108, Charleston, WV 25302-3389 | 2005-05-23 |
| 1134678071 | Meredith Anne Chapman | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2016-10-03 |
| 1790168409 | Muhammad Farhan Khaliq | Internal Medicine | 830 Pennsylvania Ave, Women and Children's Medical Staff Office, Suite 103, Charleston, WV 25302-3302 | 2015-06-30 |
| 1467869537 | Amarah Shakoor | Student in an Organized Health Care Education/Training Program | 830 Pennsylvania Ave, Suite 102, Charleston, WV 25302-3302 | 2014-07-21 |
| 1154734465 | Thomas Hunter & Associates, Pllc | Obstetrics & Gynecology | 830 Pennsylvania Ave, Ste 402, Charleston, WV 25302-3302 | 2014-06-04 |
| 1881031557 | Integrated Health Care Providers, Inc. | Surgery | 830 Pennsylvania Ave, Suite 305, Charleston, WV 25302-3302 | 2013-06-04 |
| 1528300829 | Brandi Elizabeth Sentz | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2013-03-25 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1174842140 | Ashley E Meyer | Pediatrics | 830 Pennsylvania Ave, Ste 103, Charleston, WV 25302-3302 | 2010-05-28 |
| 1134456171 | Marsha Harris | Registered Nurse | 830 Pennsylvania Ave, Ste 104, Charleston, WV 25302-3302 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558879700 | April Martinez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8905 | 2018-01-22 |
| 1831563790 | Beth Lynn Bohara | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2015-11-16 |
| 1144564055 | Bresney Crowell | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2012-11-15 |
| 1114292521 | Tamatha M Huneycutt | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2012-03-19 |
| 1750662144 | Susan Michele Brown | Nurse Practitioner | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2011-08-30 |
| 1982859567 | Melissa Dunham | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-11-24 |
| 1801944434 | Lora Renedo | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2007-01-08 |
| 1053469734 | Jane Page Dawsey | Nurse Practitioner | 316 Calhoun St, Charleston, SC 29401-1113 | 2007-01-08 |
| 1669568093 | Deana Grogan | Nurse Practitioner | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2006-10-05 |
| 1811951767 | Alicia Dawn Gaddy | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-04-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on MARY SHERIDAN.
| 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.