SHANNON MONE EIMER


Address: 3615 Chestnut St, Philadelphia, PA 19104
Phone: 2156622746

SHANNON MONE EIMER (NPI# 1972028140) 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) 1972028140
Entity Type Individual
Full Name SHANNON MONE EIMER
Credential CRNP
Practice Address 3615 Chestnut St
Philadelphia
PA 19104
Mailing Address 3615 Chestnut St
Philadelphia
PA 19104-2612
Practice Telephone 2156622746
Practice Fax Number 2153495648
Mailing Telephone 2156622746
Mailing Fax Number 2153495648
Enumeration Date 2017-08-09
Last Update Date 2018-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology 		SP017287 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3615 CHESTNUT ST
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548243751 Lisa Maria Walke Internal Medicine 3615 Chestnut St, Philadelphia, PA 19104 2005-11-22
1952853319 Laura Pendleton Okami Nurse Practitioner 3615 Chestnut St, Philadelphia, PA 19104-2612 2016-11-01
1104274703 Mariana R Gonzalez Internal Medicine 3615 Chestnut St, Philadelphia, PA 19104-2612 2016-05-25
1164879862 Hishen Dang Family Medicine 3615 Chestnut St, Philadelphia, PA 19104-2612 2016-05-23
1649636317 Jennifer Giddings Nurse Practitioner 3615 Chestnut St, Philadelphia, PA 19104-2612 2016-01-11
1649667684 Alyson Michener Internal Medicine 3615 Chestnut St, Philadelphia, PA 19104-2612 2015-04-16
1528476454 Linda J Schreiber Williams Nurse Practitioner 3615 Chestnut St, Rm 348, Philadelphia, PA 19104-2612 2014-07-23
1407288376 Kathy Marie Witta Nurse Practitioner 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104-2612 2013-08-02
1205272499 Alysa Beth Krain Internal Medicine 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104-2612 2013-05-15
1558619643 Francisco Javier Medrano Corado Student in an Organized Health Care Education/Training Program 3615 Chestnut St, Philadelphia, PA 19104-2612 2012-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508471582 Yanshi Lin Nurse Practitioner 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 2020-09-15
1821636317 Mary Mumbi Njogu Nurse Practitioner 907 Woodbrook Ln, Philadelphia, PA 19150-3217 2019-12-15
1235696741 Divya Rebecca Roberts Nurse Practitioner 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 2019-02-21
1770073090 Eboni Simmons Nurse Practitioner 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 2018-05-11
1780180620 Natalie Clarke Nurse Practitioner 7727 Overbrook Ave, Philadelphia, PA 19151-2016 2018-03-31
1396240792 Barbara Ann Young Nurse Practitioner 15054 Carter Rd, Philadelphia, PA 19116-1503 2018-03-27
1780182451 Kelly Ann Joyce Nurse Practitioner 5225 Arendell Ave, Philadelphia, PA 19114-4229 2018-01-29
1699273615 Dana Patricia Ridley Nurse Practitioner 2024 Emily St, Philadelphia, PA 19145-2823 2018-01-24
1497205157 Sinu Satheeshbabu Nair Nurse Practitioner 9285 Darlington Rd, Philadelphia, PA 19115-2734 2016-10-06
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
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Competitor

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City PHILADELPHIA
Zip Code 19104

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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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