DR. KATHLEEN A SHAUGHNESSY (NPI# 1861446783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861446783 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A SHAUGHNESSY |
| Other Name | DR. KATHLEEN A. WARTHAN |
| Credential | DDS |
| Practice Address |
Hqs, U.S. Army Dental Activity 51005 Winans Riley Barracks East Wing Fort Huachuca AZ 85613-7040 |
| Practice Telephone | 5205333144 |
| Practice Fax Number | 5205337285 |
| Mailing Telephone | 5205333144 |
| Mailing Fax Number | 5205337285 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11644 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1669002796 | Kathleen Shaughnessy | Counselor | 395 S Center St, Orange, NJ 07050-3205 | 2020-01-16 |
| 1952968042 | Kathleen Marie Shaughnessy | Physical Therapist | 200 Patewood Dr Ste C150, Greenville, SC 29615-6323 | 2019-05-23 |
| 1649564907 | Kathleen Shaughnessy | Pharmacist | 605 Boston Post Rd E, T-2570, Marlborough, MA 01752-3702 | 2011-06-04 |
| 1245258276 | Kathleen Shaughnessy | Nurse Practitioner | 1200 Old York Rd, 5 Toll, Abington, PA 19001-3720 | 2006-07-17 |
| Street Address |
HQS, U.S. ARMY DENTAL ACTIVITY 51005 WINANS RILEY BARRACKS EAST WING |
| City | FORT HUACHUCA |
| State | AZ |
| Zip Code | 85613-7040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739613 | Raymond Bernard Bersano | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-22 |
| 1598711798 | Larry Reid Hawkinson | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-26 |
| 1790731909 | Larry Richard Bowman | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-26 |
| 1528013331 | John P Cofer | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713794 | Robert Lee Kent Jr. | Registered Nurse | 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 | 2016-03-25 |
| 1548628662 | George Fauber | Licensed Practical Nurse | 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 | 2016-02-03 |
| 1013207810 | Gerald Michael Pastore | Counselor | 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 | 2011-04-13 |
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1013931484 | Mark Allen Hendrickson | Internal Medicine | Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 | 2006-07-27 |
| 1972538973 | Gail Pielack | Nurse Practitioner | Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 | 2006-07-11 |
| 1093755233 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 | 2006-06-07 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| Find all providers in zip 85613 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598867863 | Kendall L. Ray | Dentist | 2240 E. Winrow, Us Army Dental Activity, Fort Huachuca, AZ 85613-7040 | 2006-09-05 |
| 1790739613 | Raymond Bernard Bersano | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-22 |
| 1972551091 | Paul Anthony Cannava | Dentist | 2240 E Winrow Ave., Us Army Dental Clinic Command, Fort Huachuca, AZ 85613-7040 | 2006-05-04 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| 1245855410 | Kevin Matthew Farley | Dentist | 2240 E. Winrow Ave, Fort Huachuca, AZ 85613 | 2020-06-12 |
| 1598711798 | Larry Reid Hawkinson | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-26 |
| 1790731909 | Larry Richard Bowman | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-26 |
| 1528013331 | John P Cofer | Dentist | Hqs, U.S. Army Dental Activity, 51005 Winans Riley Barracks East Wing, Fort Huachuca, AZ 85613-7040 | 2006-05-23 |
| 1710949011 | Louis Francis Campana II | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613-7040 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376616 | Arizona Dental Professionals, P.C. | Dentist | 37591 N Gantzel Rd, San Tan Valley, AZ 85140-7376 | 2020-11-05 |
| 1851992879 | Arizona Dental Professionals, P.C. | Dentist | 1177 S Watson Rd Ste 107, Buckeye, AZ 85326-3465 | 2020-11-05 |
| 1609475060 | Happy Molar Dental LLC | Dentist | 67 N Dobson Rd Ste A-104, Mesa, AZ 85201-6822 | 2020-10-18 |
| 1679171151 | Diana Kim | Dentist | 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 | 2020-10-15 |
| 1366040057 | Hdp Casa Grande Dental LLC | Dentist | 1968 N Peart Rd Ste 22, Casa Grande, AZ 85122-2497 | 2020-10-14 |
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
| 1598362105 | Sona Dds PC | Dentist | 995 E Ocotillo Rd Ste 3, Chandler, AZ 85249-3111 | 2020-10-06 |
| 1205441136 | Maryvale Dental Studio | Dentist | 7614 W Indian School Rd # 2, Phoenix, AZ 85033-3035 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT HUACHUCA |
| Zip Code | 85613 |
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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.