SHANEA MONIQUE STALLWORTH (NPI# 1851933303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851933303 |
| Entity Type | Individual |
| Full Name | SHANEA MONIQUE STALLWORTH |
| Practice Address |
517 Wallis Farm Ln Marietta GA 30064-5465 |
| Practice Telephone | 8504858244 |
| Mailing Telephone | 8504858244 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN223742 | GA | Nursing Service Providers |
| Street Address |
517 WALLIS FARM LN |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-5465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114320231 | Norma Leatrice Poindexter | Registered Nurse | 1106 Sugar Springs Dr Sw, Marietta, GA 30008-3525 | 2014-10-02 |
| 1063022481 | Laura Elliott | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374615 | Brittany Hobby | Registered Nurse | 400 Durham Park Way, Pooler, GA 31322-2231 | 2020-04-09 |
| 1366079881 | Ashley Renee Smith | Registered Nurse | 3363 Conley Downs Dr, Powder Springs, GA 30127-1197 | 2020-03-25 |
| 1881229201 | Mia Toniece Jones | Registered Nurse | 311 Peachtree Cir, Hampton, GA 30228-4937 | 2020-03-05 |
| 1730722851 | Cristina Helena Vergara | Registered Nurse | 90 Harrison Dr, Newnan, GA 30265-6269 | 2019-10-21 |
| 1255891545 | Whitney Loriel Winston-parker | Registered Nurse | 3528 Madison Farm Way, Snellville, GA 30039-6809 | 2019-03-22 |
| 1619481686 | Peggy Howard | Registered Nurse | 2020 Buckley Trl, Snellville, GA 30078-3484 | 2017-11-28 |
| 1356853972 | Amber Monique Lockhart | Registered Nurse | 2413 Charleston Pointe Ct Se, Atlanta, GA 30316-3027 | 2017-11-05 |
| 1427598606 | Darrell Aloypuis Harps | Registered Nurse | 570 Piedmont Ave Ne Unit 54851, Atlanta, GA 30308-8710 | 2017-03-07 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1609234566 | Bryan Bardash | Registered Nurse | 150 Wyndage Ct, Cornelia, GA 30531-8108 | 2016-02-08 |
| 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.