JENNIFER LEE SHALLOW (NPI# 1861940884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861940884 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE SHALLOW |
| Credential | DNP |
| Practice Address |
363 Highland Ave Fall River MA 02720-3703 |
| Mailing Address |
200 Mill Rd Ste 180 Fairhaven MA 02719-5255 |
| Practice Telephone | 5086793131 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2261577 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
363 HIGHLAND AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02720-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1497365530 | Kanaan Khalil El-daher | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-08-04 |
| 1669004214 | Nicole Brown | Dietitian, Registered | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-02-11 |
| 1558901223 | Jordan Marie Wyrick | Student in an Organized Health Care Education/Training Program | 363 Highland Ave, Fall River, MA 02720-3703 | 2020-01-10 |
| 1740821123 | Melissa F Gaffney | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-10-07 |
| 1720544133 | Alicia Marie Pimentel | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2019-02-11 |
| 1881164184 | Kristina V Amaral | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-11-29 |
| 1326521584 | Alyssa Oliveira | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-09-12 |
| 1891274189 | Samantha Cruz | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-08-08 |
| 1346732534 | Brianne Caitlen Santos | Nurse Practitioner | 363 Highland Ave, Fall River, MA 02720-3703 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960264 | Robert Walsh | Massage Therapist | 275 High Street, 1st Floor Rear, Fall River, MA 02720 | 2020-04-10 |
| 1487147252 | Patricia Mateus Peterson | Social Worker | 1561 N Main Street, Fall River, MA 02720 | 2018-06-07 |
| 1669980371 | Jolita Perez | Home Health Aide | 92 Hanover St Apt 2, Fall River, MA 02720 | 2018-01-16 |
| 1023537305 | Rebekah Shermer Woolf | Counselor | 1082 Davol St., Fall River, MA 02720 | 2017-09-18 |
| 1467977843 | Elena Amelia Cetola | Nurse Practitioner | 38 Rock St Ste 2, Fall River, MA 02720 | 2017-08-07 |
| 1477903128 | Rebecca Anne Weller | Counselor | 1082 Davol St, Fall River, Ma 02720, Fall River, MA 02720 | 2016-06-14 |
| 1811358773 | Tiana Vidal | Counselor | 1082 N Davol St., Fallriver, MA 02720 | 2016-03-18 |
| 1477925907 | David Vega | Counselor | 1082 N Davol St, Fall River, MA 02720 | 2015-10-23 |
| 1235537473 | Desire Hendricksmoreno | Counselor | 279 North Main Street, Fall River, MA 02720 | 2014-12-19 |
| 1801294160 | Rebecca Bergeron | Counselor | 1080 Davol Street, Suite 202, Fall River, MA 02720 | 2014-12-18 |
| Find all providers in zip 02720 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154290 | Christine Costa | Nurse Practitioner | 191 Bedford St, Fall River, MA 02720-3050 | 2016-10-11 |
| 1104373695 | Melissa Nicole Skolny | Nurse Practitioner | 506 Prospect Street, Fall River, MA 02740 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
| 1912513714 | James Vincent Fournier | Nurse Practitioner | 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 | 2020-09-17 |
| 1386259109 | Maureen Villars | Nurse Practitioner | 32 Orchard Hill Dr, Rutland, MA 01543-1778 | 2020-09-09 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1578172243 | Felicia Mendonca | Nurse Practitioner | 21 Lands End Way, Swansea, MA 02777-2909 | 2020-07-28 |
| 1831716901 | Joan Tiano | Nurse Practitioner | 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 | 2020-07-06 |
| 1720609829 | Angelique Group | Nurse Practitioner | 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 | 2020-04-29 |
| 1093341331 | Frew Fikru | Nurse Practitioner | 529 Washington Ave Apt 2, Revere, MA 02151-1962 | 2020-03-18 |
| 1376189084 | Dorcas Korir | Nurse Practitioner | 248 Pleasant St Unit 204, Methuen, MA 01844-7149 | 2019-11-18 |
| 1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | FALL RIVER |
| Zip Code | 02720 |
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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.