SHANNON BRE ANNA WATKINS (NPI# 1891302469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891302469 |
| Entity Type | Individual |
| Full Name | SHANNON BRE ANNA WATKINS |
| Practice Address |
2937 Quantum Lakes Dr Boynton Beach FL 33426-8303 |
| Practice Telephone | 5617049305 |
| Mailing Telephone | 5617049305 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN11009191 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSE NUMBER | APRN11009191 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396126181 | Shannon Rebecca Watkins | Licensed Practical Nurse | 233 Watkins Ln, Jacksboro, TN 37757-3826 | 2015-06-17 |
| 1841756822 | Shannon Lauren Watkins | Speech-Language Pathologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2019-02-14 |
| 1487198594 | Shannon Watkins | Counselor | 1018 21st St, Bakersfield, CA 93301-4709 | 2016-12-08 |
| 1144463779 | Shannon Watkins | Student in an Organized Health Care Education/Training Program | 64 Robbins Street, Waterbury Hospital, Waterbury, CT 06708 | 2009-04-13 |
| 1629219795 | Shannon Shay Watkins | Occupational Therapy Assistant | 100 Push Root Ct, Lander, WY 82520-3460 | 2009-03-18 |
| 1720107436 | Shannon Watkins | Speech-Language Pathologist | 3440 S Oleander Dr, Chandler, AZ 85248-3655 | 2007-03-27 |
| 1902972441 | Shannon Watkins | Dermatology | 1065 Ashley St, Suite 200, Bowling Green, KY 42103-3400 | 2006-11-27 |
| Street Address |
2937 QUANTUM LAKES DR |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674563 | Marcel Stux | Nurse Practitioner | 1035 Grove Park Cir, Boynton Beach, FL 33436-9437 | 2020-06-24 |
| 1639794563 | Alexandra Faith Mahon | Nurse Practitioner | 8888 Thumbwood Cir Apt C, Boynton Beach, FL 33436-7905 | 2020-06-16 |
| 1003273947 | Sl Evans LLC | Nurse Practitioner | 32 Country Lake Cir, Boynton Beach, FL 33436-6200 | 2016-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
| 1508472556 | Laura Elizabeth Dalley | Nurse Practitioner | 1513 Foxfire Dr, Apopka, FL 32712-3012 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
Please comment or provide details below to improve the information on SHANNON BRE ANNA WATKINS.
| 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.