SHANNON MARIE WILLIAMS


Address: 124 Regency Park Ste 7, O Fallon, IL 62269-1994
Phone: 6186223322

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
311 W Lincoln St Ste 101, Belleville, IL 622201902 6182333661 6182330992

Other Providers SHANNON WILLIAMS

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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

Office Location

Street Address 124 REGENCY PARK STE 7
City O FALLON
State IL
Zip Code 62269-1994

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City O FALLON
Zip Code 62269

Improve Information

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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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