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).
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 |
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 |
Street Address |
4409 MAINE ST |
City | QUINCY |
State | IL |
Zip Code | 62305-5849 |
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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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 Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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 |
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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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.