SHANNON L FENNIE (NPI# 1932458429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932458429 |
| Entity Type | Individual |
| Full Name | SHANNON L FENNIE |
| Other Name | SHANNON L LONGTON |
| Credential | FNP |
| Practice Address |
320 W Prince Rd Tucson AZ 85705-3526 |
| Mailing Address |
839 W Congress St Tucson AZ 85745-2819 |
| Practice Telephone | 5207929890 |
| Practice Fax Number | 5208849287 |
| Mailing Telephone | 5207929890 |
| Mailing Fax Number | 5208849287 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP4576 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
320 W PRINCE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324794 | Melissa Warkentin-thiessen | Pharmacist | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2005-08-30 |
| 1063977080 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 320 W Prince Rd, Tucson, AZ 85705 | 2019-02-04 |
| 1265836811 | El Rio Santa Cruz Neighborhood Health Center | Clinic/Center | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2014-10-10 |
| 1740681402 | Robert Kurlander | Pharmacist | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2014-09-11 |
| 1114218385 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2011-04-22 |
| 1245529924 | Kelli P Trueba | Counselor | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2011-04-01 |
| 1265690838 | Felipe Reyes Perez | Family Medicine | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2008-05-29 |
| 1083835557 | Connie Susan Funk | Internal Medicine | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2007-05-01 |
| 1346334083 | Mary Zimmerman | Pediatrics | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2006-10-03 |
| 1033142922 | Michael A Markowitz | Internal Medicine | 320 W Prince Rd, Tucson, AZ 85705-3526 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| 1548876675 | Kara Gilliland | Nurse Practitioner | 5129 W Placita Del Herrero, Tucson, AZ 85745-9720 | 2020-09-23 |
| 1386250736 | Blue Sky Mental Health and Wellness Pllc | Nurse Practitioner | 7563 E Park View Dr, Tucson, AZ 85715-3561 | 2020-09-21 |
| 1770196628 | Victoria C. Weirick | Nurse Practitioner | 7733 E Marquise Dr, Tucson, AZ 85715-3778 | 2020-08-28 |
| 1326650144 | Ignacio William Nunez | Nurse Practitioner | 1570 E Tucson Marketplace Blvd, Tucson, AZ 85713-6568 | 2020-08-21 |
| 1235749656 | Rebecca Diaz | Nurse Practitioner | 5874 S Fiorenza Pl, Tucson, AZ 85747-6005 | 2020-08-01 |
| 1013526409 | Lora K White | Nurse Practitioner | 4170 N Camino Arco, Tucson, AZ 85718-7064 | 2020-07-30 |
| 1700495306 | Karma Selina Carty | Nurse Practitioner | 6121 E 20th St, Tucson, AZ 85711-5217 | 2020-07-29 |
| Find all providers in TUCSON | ||||
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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.