SHANDA THOMAS SHRADER (NPI# 1831579853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831579853 |
| Entity Type | Individual |
| Full Name | SHANDA THOMAS SHRADER |
| Other Name | SHANDA SUZANNE THOMAS |
| Credential | CPNP-PC |
| Practice Address |
27550 State Highway 75 Oneonta AL 35121-3203 |
| Mailing Address |
Po Box 568 Oneonta AL 35121-0007 |
| Practice Telephone | 2056255711 |
| Mailing Telephone | (205) 625-5711 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-134326 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
208000000X | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27550 STATE HIGHWAY 75 |
| City | ONEONTA |
| State | AL |
| Zip Code | 35121-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841323425 | Thomas C Morgan | Pharmacist | 27550 State Highway 75, Suite 107, Oneonta, AL 35121-3203 | 2007-03-13 |
| 1396178083 | Rehab Associates, LLC | Clinic/Center | 27550 State Highway 75, Suite 102, Oneonta, AL 35121-3204 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1023588688 | Melissa Kay Thompson | Counselor | 25522 Al-75, Oneonta, AL 35121 | 2018-11-27 |
| 1497105274 | Kendra Nicole Menghini | Specialist/Technologist | 27550 Al-75 Suite 102, Oneonta, AL 35121 | 2016-06-13 |
| 1992144240 | Evergreen Medical Cosmetic Laser Center | Clinic/Center | 104 1st Ave East, Oneonta, AL 35121 | 2013-06-20 |
| 1871725382 | Renay Horsley Carroll | Counselor | 898 Springville Blvd, Oneonta, AL 35121 | 2009-08-17 |
| 1801051354 | Express Care Clinic of Oneonta, P.C. | Internal Medicine | 2040 2nd Avenue East, Oneonta, AL 35121 | 2008-07-24 |
| 1962526665 | Blount Co Mrdd, Inc | Case Management | 406 5th St N, Suite 5 & 6, Oneonta, AL 35121 | 2007-03-19 |
| 1629138714 | Miller Drug Co Inc | Pharmacy | 212 1st Ave East, Oneonta, AL 35121 | 2006-12-11 |
| 1154426534 | Jay E Hypes | Dentist | 52 Valley Rd, Oneonta, AL 35121 | 2006-09-13 |
| 1477667376 | Pharmacy Inc | Pharmacy | 27550 State Hwy 75, Suite #107, Oneonta, AL 35121 | 2006-08-18 |
| Find all providers in zip 35121 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136691 | Lindsay K Davis | Nurse Practitioner | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2019-04-16 |
| 1669802500 | Norie Grant | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2013-11-13 |
| 1083999171 | Robin Fredrica Guion | Nurse Practitioner | 2343 2nd Ave E, Oneonta, AL 35121-2756 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636038 | Samantha Thompson | Nurse Practitioner | 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 | 2020-10-14 |
| 1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
| 1033776612 | Erin Tracy Swing | Nurse Practitioner | 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 | 2019-05-20 |
| 1629531181 | Holley Lewis Collins | Nurse Practitioner | 1601 Center St Ste 1a, Mobile, AL 36604-1541 | 2019-04-11 |
| 1023591245 | Katherine Leigh Cassidy | Nurse Practitioner | 2001 Fieldstown Rd, Gardendale, AL 35071-4628 | 2018-09-13 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1740769801 | Amy Leigh Jenkins | Nurse Practitioner | 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 | 2018-08-09 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1184102931 | Molly Dixon Bolton | Nurse Practitioner | 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 | 2018-08-03 |
| 1760968580 | Gladys Cooks | Nurse Practitioner | 8517 Highlands Trce, Trussville, AL 35173-3815 | 2018-07-15 |
| Find all providers with the same taxonomy | ||||
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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.