SHANNON D STADELMANN (NPI# 1922553908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922553908 |
| Entity Type | Individual |
| Full Name | SHANNON D STADELMANN |
| Other Name | SHANNON DOERSAM |
| Credential | FNP |
| Practice Address |
477 N El Camino Real Suite 208a Encinitas CA 92024-1328 |
| Mailing Address |
10790 Rancho Bernardo Rd Mail Drop 4s-205 San Diego CA 92127-5705 |
| Practice Telephone | 7604793900 |
| Practice Fax Number | 7606344845 |
| Mailing Telephone | 7604793900 |
| Mailing Fax Number | 7606344845 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004762 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
477 N EL CAMINO REAL SUITE 208A |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581183 | North County Radiation Oncology | Specialist | 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 | 2005-07-09 |
| 1184238933 | Epilepsy Rheumatology and Arthritis Specialty Wellness Center PC | Psychiatry & Neurology | 477 N El Camino Real, Ste C208, Encinitas, CA 92024-1332 | 2020-08-31 |
| 1790253631 | Lacy Lofties | Nurse Practitioner | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2018-11-08 |
| 1194243212 | Stephen Andrew Rivera | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-09-08 |
| 1922539865 | Michael Dennis Hadley | Family Medicine | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-03-22 |
| 1174077507 | Cortney Franz | Nurse Practitioner | 477 N El Camino Real, Suite D200, Encinitas, CA 92024-1328 | 2016-08-15 |
| 1306297072 | Mary K. Tucker | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024 | 2016-06-23 |
| 1093163032 | Jennifer Price | Physician Assistant | 477 N El Camino Real, Suite A202, Encinitas, CA 92024-1328 | 2016-05-31 |
| 1124485784 | San Diego Eyelid Specialists, Inc. | Ophthalmology | 477 N El Camino Real, A304, Encinitas, CA 92024-1328 | 2016-01-26 |
| 1770953960 | Regents of The University of Ca | Clinic/Center | 477 N El Camino Real, Suite A306, Encinitas, CA 92024-1328 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536024 | Caroline Barbara Lipinsky | Nurse Practitioner | 994 Marisa Ln, Encinitas, CA 92024-6649 | 2020-10-22 |
| 1720698970 | Marisa Joy Merritt | Nurse Practitioner | 38a E F St, Encinitas, CA 92024-3601 | 2020-08-03 |
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1629614482 | Erin Zehntner | Nurse Practitioner | 1750 S El Camino Real Unit K209, Encinitas, CA 92024-7913 | 2019-11-26 |
| 1174093504 | Elaine Nadal Mariski | Nurse Practitioner | 4401 Manchester Ave Ste 106, Encinitas, CA 92024-4938 | 2018-11-28 |
| 1104302173 | Heidi Arens | Nurse Practitioner | 4403 Manchester Ave Ste 107, Encinitas, CA 92024-4939 | 2018-07-12 |
| 1063942308 | Kara Jayne Morgan | Nurse Practitioner | 310 Santa Fe Dr Ste 212, Encinitas, CA 92024-5147 | 2017-06-19 |
| 1780050534 | Carolyn Herrera | Nurse Practitioner | 310 Santa Fe Dr Ste 312, Encinitas, CA 92024-5147 | 2015-08-17 |
| 1841617784 | Tonia Cardenas | Nurse Practitioner | 937 Via Di Felicita, Encinitas, CA 92024-6854 | 2014-03-27 |
| 1669802211 | Corey John Wehr | Nurse Practitioner | 528 Melba Rd, Encinitas, CA 92024-4655 | 2013-11-18 |
| Find all providers in ENCINITAS | ||||
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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.