MR. GRANT SHANNON (NPI# 1881139863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881139863 |
| Entity Type | Individual |
| Full Name | MR. GRANT SHANNON |
| Other Name | MR. PATRICK GRANT SHANNON |
| Credential | N.P. |
| Practice Address |
206 Cornelia St Suite 105 Plattsburgh NY 12901-2878 |
| Practice Telephone | 5185615516 |
| Mailing Telephone | 5185615516 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308051-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
206 CORNELIA ST SUITE 105 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983531 | Nancy E Zahn | Nurse Practitioner | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 | 2005-06-27 |
| 1437540390 | Gina Kruml | Nurse Practitioner | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 | 2015-02-13 |
| 1942564299 | Jessica Rose Scott | Nurse Practitioner | 206 Cornelia St, Suite 202, Plattsburgh, NY 12901-2779 | 2012-07-02 |
| 1518284199 | Boris Y Chulpayev | Specialist | 206 Cornelia St, Suite 102, Plattsburgh, NY 12901-2779 | 2010-04-22 |
| 1659606481 | Lauren Ann Caniano | Nurse Practitioner | 206 Cornelia St, 307, Plattsburgh, NY 12901-2779 | 2009-10-13 |
| 1205066180 | Dennis Evgenyevich Radoshkevich | Obstetrics & Gynecology | 206 Cornelia St, Suite 202, Plattsburgh, NY 12901-2779 | 2009-07-25 |
| 1528208881 | Theodore S. Pabst IIi | Surgery | 206 Cornelia St, Suite 104, Plattsburgh, NY 12901-2779 | 2009-02-26 |
| 1770722084 | Charlotte A Gosrich | Nutritionist | 206 Cornelia St, Suite 103, Plattsburgh, NY 12901-2779 | 2009-02-10 |
| 1558514497 | Jessica Rae Hatfield | Physician Assistant | 206 Cornelia St, Suite 104, Plattsburgh, NY 12901-2779 | 2008-10-23 |
| 1447415971 | Sadaf N Mir | Internal Medicine | 206 Cornelia St, Suite 307, Plattsburgh, NY 12901-2878 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062523 | Meagan Goodwin | Nurse Practitioner | 79 Hammond Ln Ste 2, Plattsburgh, NY 12901-2008 | 2018-08-13 |
| 1437406477 | Jennifer Amber Facteau-rabideau | Nurse Practitioner | 345 Cornelia St, Plattsburgh, NY 12901-2377 | 2012-08-09 |
| 1396866174 | Linda R Bailey | Nurse Practitioner | 79 Hammond Lane, Suite2, Plattsburgh, NY 12901-4706 | 2007-04-02 |
| 1841806072 | Hannah Constanty | Nurse Practitioner | 1942 Military Tpke, Plattsburgh, NY 12901-7375 | 2020-09-22 |
| 1508336868 | Tracy Ann Arguelles | Nurse Practitioner | 206 Cornelia St Ste 307, Plattsburgh, NY 12901-2779 | 2018-11-29 |
| 1962958553 | Jodi Hamel | Nurse Practitioner | 675 Route 3, Plattsburgh, NY 12901-6562 | 2016-09-01 |
| 1164807269 | Jennifer Beveridge | Nurse Practitioner | 159 Margaret St., Suite 100, Plattsburgh, NY 12901-1438 | 2015-07-30 |
| 1609202449 | Small Town Health Care Jennifer Facteau-rabideau Rn, Adult Health Np-c | Nurse Practitioner | 345 Cornelia St, Plattsburgh, NY 12901-2377 | 2013-09-25 |
| 1770832040 | Darcy M Reid | Nurse Practitioner | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2012-09-02 |
| 1548540198 | Ann Jacqueline Heywood | Nurse Practitioner | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1893 | 2011-08-26 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
Please comment or provide details below to improve the information on MR. GRANT SHANNON.
| 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.