SHANNON MILLER ULLMAN (NPI# 1871102277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871102277 |
| Entity Type | Individual |
| Full Name | SHANNON MILLER ULLMAN |
| Other Name | SHANNON KEATS MILLER |
| Credential | APRN-CNP |
| Practice Address |
489 Washington Ave Clarksburg WV 26301-2825 |
| Mailing Address |
13 Eastern Trl Morgantown WV 26508-5991 |
| Practice Telephone | 3046222708 |
| Mailing Telephone | 8458635504 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
106952 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
489 WASHINGTON AVE |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821271008 | Rose M Clark | Nurse Practitioner | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2007-12-11 |
| 1568723179 | Health Access Inc | Pharmacy | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487288031 | Catherine Elizabeth Tricase | Nurse Practitioner | 256 N Ohio Ave, Clarksburg, WV 26301-2233 | 2020-02-22 |
| 1952931842 | Toshua Dainelle Roe | Nurse Practitioner | 1505 N 20th St, Clarksburg, WV 26301-1569 | 2020-01-21 |
| 1306492483 | Megan Ashley Cornman | Nurse Practitioner | 1279 Clarksburg Rd, Clarksburg, PA 15725-7744 | 2019-08-14 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1689738965 | Elizabeth A Kim | Nurse Practitioner | 12138 Cypress Spring Rd, Clarksburg, MD 20871-4417 | 2006-12-20 |
| 1487767646 | Kathy Leyvonne Ross | Nurse Practitioner | 1 Medical Drive, Clarksburg, WV 26301 | 2006-08-15 |
| 1356969927 | Diana Lynn Davis | Nurse Practitioner | 700 Oakmound Rd, Clarksburg, WV 26301-9398 | 2020-07-10 |
| 1710546296 | Angela Megan Sessions | Nurse Practitioner | 700 Oakmound Rd, Clarksburg, WV 26301-9398 | 2019-06-10 |
| 1073009775 | Charleen Nicole Dye | Nurse Practitioner | 469 Emily Dr, Clarksburg, WV 26301-5512 | 2018-07-05 |
| 1740704972 | Joanna Carol Ranhart | Nurse Practitioner | 700 Oakmound Rd, Clarksburg, WV 26301-9398 | 2017-07-31 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on SHANNON MILLER ULLMAN.
| 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.