SHANNON NICOLE HALL (NPI# 1821338542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821338542 |
Entity Type | Individual |
Full Name | SHANNON NICOLE HALL |
Credential | ARNP |
Practice Address |
200 3rd Avenue West Suite 110 Bradenton FL 34205 |
Mailing Address |
367 S. Gulph Rd Attn: Ipm Credentialing King of Prussia PA 19406-3121 |
Practice Telephone | 9417463115 |
Practice Fax Number | 9417463201 |
Mailing Telephone | 9417463115 |
Enumeration Date | 2013-02-15 |
Last Update Date | 2018-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
9204046 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1700 S Tamiami Trl, Sarasota, FL 342393509 | 9419177924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386018190 | Shannon Hall | Physical Therapist | 744 S Philadelphia Blvd Ste C, Aberdeen, MD 21001-3655 | 2015-11-17 |
1356740070 | Shannon Hall | Behavioral Analyst | 15017 123rd Ave, Jamaica, NY 11434-2308 | 2014-08-19 |
1164856373 | Shannon Lacerne Hall | Counselor | 2515 Tolliver Dr, Ellenwood, GA 30294-6228 | 2013-08-23 |
1356629703 | Shannon Scott Hall | Chiropractor | 1652 Pleasant Ave, Kingsport, TN 37664-3125 | 2011-08-02 |
1588849632 | Shannon Elaine Hall | Mechanotherapist | 38101 S.e. Lusted Rd., Boring, OR 97009 | 2008-01-08 |
1205455359 | Shannon Elise Hall | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4492 | 2020-04-09 |
1265960629 | Shannon Lynn Hall | Speech-Language Pathologist | 675 3rd Ave Fl 5, New York, NY 10017-5731 | 2017-05-30 |
1104361344 | Shannon Hall | Pharmacy Technician | 2501 Jackson Ave, Point Pleasant, WV 25550-2035 | 2016-12-26 |
1417310921 | Shannon Rhea Hall | Nurse Practitioner | 7500 Hugh Daniel Dr, Birmingham, AL 35242-7148 | 2016-04-01 |
1720397839 | Shannon Hall | Social Worker | 1050 Ribaut Rd, Beaufort, SC 29902-5400 | 2010-10-07 |
Street Address |
200 3RD AVENUE WEST SUITE 110 |
City | BRADENTON |
State | FL |
Zip Code | 34205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
1720116916 | Daniel J. Serpentelli IIi | Chiropractor | 3806 Manatee Ave West, Suite 100, Bradenton, FL 34205 | 2007-03-01 |
Find all providers in zip 34205 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639587728 | Debbie C. Sheneman Np-c Inc | Nurse Practitioner | 926 14th St W, Bradenton, FL 34205-6646 | 2014-08-01 |
1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
1942316922 | Susan L Gaida | Nurse Practitioner | 202 Sherwood Dr, Bradenton, FL 34210-4516 | 2006-08-22 |
1700820958 | Kimberly A Sand | Nurse Practitioner | 1105 53rd Ave E, Building A, Bradenton, FL 34203-4897 | 2006-06-16 |
1407819477 | Janene Mary Diekmann | Nurse Practitioner | 5520 State Road 64, Bradenton Cboc, Bradenton, FL 34208 | 2006-04-10 |
1609838119 | Catherine I Mcdermott | Nurse Practitioner | 3914 East State Road 64, Bradenton, FL 34208-9095 | 2006-04-03 |
1922091396 | Jill M Heringhaus | Nurse Practitioner | 201 4th Ave E, Suite 1, Bradenton, FL 34208 | 2005-08-31 |
1689139297 | Autumn Nicole Stevanus | Nurse Practitioner | 8614 State Road 70 E Ste 104, Bradenton, FL 34202-3710 | 2019-02-07 |
1851855050 | Charles Kasten | Nurse Practitioner | 2401 Manatee Ave W, Bradenton, FL 34205-4933 | 2019-01-22 |
1104345750 | Andrea Marie Bell | Nurse Practitioner | 101 Riverfront Blvd Ste 700, Bradenton, FL 34205-8823 | 2017-09-14 |
Find all providers in BRADENTON |
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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.