SHANNON MARIE WILLIAMS (NPI# 1942712310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942712310 |
Entity Type | Individual |
Full Name | SHANNON MARIE WILLIAMS |
Credential | NP-C, FNP |
Practice Address |
124 Regency Park Ste 7 O Fallon IL 62269-1994 |
Practice Telephone | 6186223322 |
Practice Fax Number | 6186222229 |
Mailing Telephone | 6186223322 |
Mailing Fax Number | 6186222229 |
Enumeration Date | 2017-10-25 |
Last Update Date | 2020-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 209015851 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015851 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
311 W Lincoln St Ste 101, Belleville, IL 622201902 | 6182333661 | 6182330992 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508405952 | Shannon Williams | Technician/Technologist | 34 Birch Cir, Port Wentworth, GA 31407-3376 | 2020-01-02 |
1902379738 | Shannon Denese Williams | Nurse Practitioner | 4659 Slagles Lake Rd, Emporia, VA 23847-8059 | 2019-01-03 |
1104317148 | Shannon Williams | Case Manager/Care Coordinator | 218 Kathleen Dr, Midwest City, OK 73110-7765 | 2018-05-25 |
1285171553 | Shannon P Williams | Counselor | 1358 Buckingham Dr, Hampton, GA 30228-3281 | 2017-01-25 |
1023551785 | Shannon Williams | Nurse Practitioner | 7416 Calder Ave, Sebastopol, CA 95472-4356 | 2016-11-29 |
1508228008 | Shannon Williams | Registered Nurse | Jblm North Ft Bldg 13815, Tacoma, WA 98431-0001 | 2016-03-23 |
1598061921 | Shannon Nicole Williams | Nurse Practitioner | 3452 Stephen Earl, Vancleave, MS 39565-7609 | 2011-02-02 |
1790097012 | Shannon D Williams | Specialist | 690 Brookstown Ave, Winston Salem, NC 27101-3730 | 2010-07-02 |
1023256658 | Shannon Leigh Williams | Speech-Language Pathologist | 330 Marean Rd, Newark Valley, NY 13811-3537 | 2009-02-04 |
1275736431 | Shannon Lucas Williams | Counselor | 645 Bells Branch Rd, Newton Grove, NC 28366-7585 | 2007-06-06 |
Street Address |
124 REGENCY PARK STE 7 |
City | O FALLON |
State | IL |
Zip Code | 62269-1994 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871115592 | Schantz Medical Group LLC | Chiropractor | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2020-05-15 |
1043832769 | Main Street Medical Group LLC | Chiropractor | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2020-05-15 |
1891317517 | O Fallon Medical Ventures LLC | Chiropractor | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2020-05-15 |
1063034783 | Regency Mark Medical Group LLC | Physician Assistant | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2020-05-15 |
1740788587 | New Heights Chiropractic | Chiropractor | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2018-01-26 |
1114431616 | New Heights Integrated Health Sc | Clinic/Center | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2017-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
Find all providers in zip 62269 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295353308 | Danielle Renae Blake | Nurse Practitioner | 808 E 2nd St, O Fallon, IL 62269-2217 | 2020-07-07 |
1588293864 | Nicole Pashia | Nurse Practitioner | 983 Crestwood Ln, O Fallon, MO 63366-1676 | 2020-04-07 |
1104394899 | Christina Marie Ivy | Nurse Practitioner | 2765 Red Cedar Parc Dr S, O Fallon, MO 63368-6609 | 2018-11-12 |
1225514722 | Rachel Dulaney | Nurse Practitioner | 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269-3494 | 2018-07-17 |
1053822551 | Leah W Wangui | Nurse Practitioner | 225 Mystic Cv, O Fallon, MO 63368-9654 | 2017-10-24 |
1932655479 | Danielle Besand | Nurse Practitioner | 18 S Boxwood Ln, O Fallon, MO 63366-1626 | 2016-08-25 |
1649626144 | Donna Jewell | Nurse Practitioner | 331 Logan Dr, O Fallon, IL 62269-7146 | 2016-05-13 |
1679939516 | Gladys Schmees | Nurse Practitioner | 408 Wolfpass Dr, O Fallon, IL 62269-6972 | 2016-01-07 |
1275916934 | Blue Valley Surgical Associates, LLC | Nurse Practitioner | 2341 Highway K, Suite 214, O Fallon, MO 63368-8604 | 2015-06-30 |
1861894925 | Elizabeth Morton | Nurse Practitioner | 223 Shady Rock Ln, O Fallon, MO 63368-7471 | 2014-09-20 |
Find all providers in O FALLON |
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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.