DR. JENNIFER ANNE SHAH (NPI# 1821644451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821644451 |
Entity Type | Individual |
Full Name | DR. JENNIFER ANNE SHAH |
Other Name | JENNIFER ANNE HEATH |
Credential | PSY.D. |
Practice Address |
4101 S 4th St Leavenworth KS 66048-5014 |
Mailing Address |
183 Gerry Rd Chestnut Hill MA 02467-3185 |
Practice Telephone | 9136822000 |
Mailing Telephone | 6037311958 |
Enumeration Date | 2019-08-09 |
Last Update Date | 2019-08-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS01790 | RI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447713847 | Jennifer Shah | Counselor | 130 Northwoods Blvd Ste A, Columbus, OH 43235-7473 | 2019-04-11 |
1831650951 | Jennifer Shah | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2019-03-29 |
1104349679 | Jennifer Lynn Shah | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2017-07-17 |
1023541448 | Jennifer Shah | Nurse Practitioner | 301 N Preston Rd Ste B, Prosper, TX 75078-8876 | 2017-04-04 |
1821387770 | Jennifer Lobo Shah | Radiology | 7500 Challis Rd, Brighton, MI 48116-9416 | 2011-03-31 |
Street Address |
4101 S 4TH ST |
City | LEAVENWORTH |
State | KS |
Zip Code | 66048-5014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437151701 | Scott A Smith | Physical Therapist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2005-06-01 |
1568084895 | Robert Bugh | Registered Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2020-05-08 |
1073134045 | Shay Thomas Ioerger | Radiologic Technologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2020-04-30 |
1548808389 | Deborah Ann Curtis | Registered Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-12-11 |
1558914580 | Michelle Hogg | Social Worker | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-07-18 |
1235782533 | Elizabeth Weinmann | Counselor | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-07-17 |
1144872631 | Lindsey Rachelle Schmidling | Social Worker | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-07-15 |
1063071967 | Leo-anthony Nnamdi Ojini | Nurse Practitioner | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-06-13 |
1386201283 | Ashley Suzanne Towell | Licensed Practical Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-05-26 |
1003372541 | Cynthia Diane Sterba | Registered Nurse | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-02-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
Find all providers in zip 66048 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
1104148261 | Sylvia Ivonne Trevino-maack | Psychologist | 403 N 4th St, Leavenworth, KS 66048-1966 | 2010-02-17 |
1528082310 | Hodges James Glenn Jr. | Psychologist | 422 Linn St, Leavenworth, KS 66048-3437 | 2006-07-26 |
1659772846 | Melinda Ann Gaddy | Psychologist | 4101 S 4th St, L-116-atp, Main Hospital, A6, Leavenworth, KS 66048-5014 | 2014-09-08 |
1093115933 | Amber D. Guzman | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2014-08-28 |
1497198501 | Kevin P Donovan | Psychologist | 1503 Ohio St, Leavenworth, KS 66048-2932 | 2013-04-09 |
1184976326 | Erin Michelle Mcinerney-ernst | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2012-10-11 |
1023369899 | Kylie L Dowell | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2012-09-19 |
1588810469 | Jenny M Rosinski | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2008-08-12 |
1700041829 | Keith Rickard | Psychologist | 500 Limit St, Leavenworth, KS 66048-4435 | 2008-07-29 |
Find all providers in LEAVENWORTH |
City | LEAVENWORTH |
Zip Code | 66048 |
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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.