MRS. SHANNON BURNETTE


Address: 4409 Maine St, Quincy, IL 62305-5849
Phone: 2172230423

MRS. SHANNON BURNETTE (NPI# 1932293362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932293362
Entity Type Individual
Full Name MRS. SHANNON BURNETTE
Credential RN,MSN
Practice Address 4409 Maine St
Quincy
IL 62305-5849
Mailing Address 1516 Kentucky St
Quincy
IL 62301-4257
Practice Telephone 2172230423
Practice Fax Number 2172230461
Mailing Telephone 2172230423
Mailing Fax Number 2172230461
Enumeration Date 2006-10-02
Last Update Date 2008-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
2005010932 IL Physician Assistants & Advanced Practice Nursing Providers
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
IL Nursing Service Providers

Office Location

Street Address 4409 MAINE ST
City QUINCY
State IL
Zip Code 62305-5849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447258181 Scott J Wright Psychiatry & Neurology 4409 Maine St, Quincy, IL 62305-5849 2005-07-07
1285273144 Dana R. Knox Nurse Practitioner 4409 Maine St, Quincy, IL 62305-5849 2019-12-24
1205338993 Transitions of Western Illinois Inc. Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2018-03-08
1336697010 Jennifer Martin Social Worker 4409 Maine St, Quincy, IL 62305-5849 2016-09-12
1164820452 Amber Wiemelt Social Worker 4409 Maine St, Quincy, IL 62305-5849 2014-12-18
1336564764 Nancy A Weede Counselor 4409 Maine St, Quincy, IL 62305-5849 2014-02-21
1548534688 Transitions of Western Illinois Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2012-03-07
1720375454 Transitions of Western Illinois Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2011-07-01
1467749192 Transitions of Western Illinois Clinic/Center 4409 Maine St, Quincy, IL 62305-5849 2011-07-01
1053617860 Sharadan Parks Developmental Therapist 4409 Maine St, Quincy, IL 62305-5849 2011-01-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386999001 Kristi Michelle Gillette Internal Medicine 5011 Oak St, Quincy, IL 62305 2012-07-18
1447582549 Cathi Marie Webb Counselor 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 2010-02-01
1285804450 Curtis D Fauble Dentist 4561 Maine, Quincy, IL 62305 2008-03-04
1598940256 Kelley Jo Begeman Licensed Practical Nurse 934 North 1903 Road Lane, Quincy, IL 62305 2007-12-31
1649459470 Aa Dental Care PC Dentist 407 So 48th Street, Quincy, IL 62305 2007-10-29
1982803920 Dennis Ryan Wagner Dentist 407 South 48th St, Quincy, IL 62305 2007-07-11
1689899056 Capelle House Day Training, Developmentally Disabled Services 3325 Ghost Hollow Road, Quincy, IL 62305 2007-04-13
1750416236 Julie A Danker Social Worker 2209 N 64th St, Quincy, IL 62305 2007-02-23
1942812300 Brooke N Bracy Dentist 4561 Maine, Quincy, IL 62305 2020-08-18
1558997379 Blessing Corporate Services, Inc Clinic/Center 4800 Maine St, Quincy, IL 62305 2020-03-13
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487894614 Margaret H Callahan Clinical Nurse Specialist 1261 Furnace Brook Pkwy, Suite #31, Quincy, MA 02169-4721 2009-02-27
1023038643 Della Leah Kaplan Clinical Nurse Specialist 460 Quincy Ave, Quincy, MA 02169-8130 2006-07-19
1649295957 Kathleen M Sinar Clinical Nurse Specialist 460 Quincy Ave, Quincy, MA 02169-8130 2006-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376102814 Rl Group Clinical Nurse Specialist 2008 N Lawler Ave, Chicago, IL 60639-3136 2019-06-09
1184090847 Logan Health & Healing Center, Inc Clinical Nurse Specialist 5844 Elaine Dr, Suite B, Rockford, IL 61108-2494 2015-08-18
1669620480 Cynthia Hodson Kerber Clinical Nurse Specialist 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 2008-09-04
1467624775 Laureen Lewis Clinical Nurse Specialist 4750 N Sheridan Rd, #434, Chicago, IL 60640-7528 2008-03-26
1114197324 Rhonda Fried Clinical Nurse Specialist 265 Stonegate Rd Ste 102, Algonquin, IL 60102-5614 2008-03-04
1689603177 Ellen Maxson Clinical Nurse Specialist Hines Veterans Administration, Hines, IL 60141-9910 2006-06-30
1669472379 Mary Lee Dunning Clinical Nurse Specialist 126 S Lincoln Blvd, Centralia, IL 62801-3654 2005-07-22
1710519335 Linq Care Inc Clinical Nurse Specialist 50 S Main St Ste 200, Naperville, IL 60540-5485 2020-02-11
1215365036 Joyce Azzaline Clinical Nurse Specialist 1401 Lakewood Dr, Ste A, Morris, IL 60450-3352 2013-10-15
1356625966 Vine Street Clinical Associates, LLC Clinical Nurse Specialist 3225 Hedley Rd, Springfield, IL 62711-6248 2011-09-30
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Competitor

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City QUINCY
Zip Code 62305

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Dataset Information

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.

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