MS. SANDRA C. SHANAHAN (NPI# 1033101928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101928 |
| Entity Type | Individual |
| Full Name | MS. SANDRA C. SHANAHAN |
| Credential | C.R.N.P. |
| Practice Address |
7556 Teague Road Suite 210 Hanover MD 21076 |
| Mailing Address |
1111 Benfield Blvd Suite 200 Millersville MD 21108-3002 |
| Practice Telephone | 4105510499 |
| Practice Fax Number | 4107999070 |
| Mailing Telephone | 4107295100 |
| Mailing Fax Number | 4107295156 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R121329 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST MD RENDERING OD | 641932-02 | 01 |
| MD | JHHC PROVIDER NUMBER | 107916 | 01 |
| MD | 405743100 | 05 | |
| MD | CAREFIRST BLUECHOICE | 7605-0067 | 01 |
| Street Address |
7556 TEAGUE ROAD SUITE 210 |
| City | HANOVER |
| State | MD |
| Zip Code | 21076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669849121 | Michelle Elise Clausen | Registered Nurse | 7556 Teague Road, Suite 430, Hanover, MD 21076-3201 | 2015-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
| 1598287419 | Robert Ehrhardt | Social Worker | 7801 Nauitan Ct, Hanover, MD 21076 | 2017-07-12 |
| 1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
| 1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
| 1720460678 | Michael David Berger | Podiatrist | 7240 Parkway Dr Ste 350, Hanover, MD 21076 | 2015-06-26 |
| 1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
| 1972917813 | Jeongwon Shin | Psychiatry & Neurology | 7257 Parkway Dr Ste 250, Hanover, MD 21076 | 2014-06-18 |
| 1487070868 | Tywanna Hamilton | Nurse Practitioner | 7556 Teague Rd Ste 210, Hanover, MD 21076 | 2014-03-10 |
| 1891127866 | Elyce D. Millery | Dentist | 7581 Buckingham Blvd Ste 100, Hanover, MD 21076 | 2013-08-01 |
| 1588990725 | Katoya Lee | Nurse Practitioner | 7698 Dorchester Blvd Ste 204, Hanover, MD 21076 | 2009-10-22 |
| Find all providers in zip 21076 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1396951075 | Marytheresa Parsons | Nurse Practitioner | 51 Mill Street Bld E Suite 17, Healthcare South, P.C./ Hanover Pediatrics, Hanover, MA 02339 | 2007-05-16 |
| 1851454441 | Judith Ann Nagy | Nurse Practitioner | 121 Windsor Ct, Hanover, PA 17331-9780 | 2006-12-18 |
| 1023009495 | Kathleen E Fortini | Nurse Practitioner | 51 Mill St, Building E #17, Hanover, MA 02339-1641 | 2005-11-03 |
| 1124574710 | Kathleen Elizabeth Dudley | Nurse Practitioner | 217 Broadway, Hanover, PA 17331-2503 | 2016-09-01 |
| 1144637216 | Lakhbir Kaur | Nurse Practitioner | 300 Highland Ave, Hanover, PA 17331-2297 | 2014-07-21 |
| 1669808952 | Sarah E Thornton | Nurse Practitioner | 51 Mill St, Bld E, Suite 17, Hanover, MA 02339-1641 | 2013-09-19 |
| 1093096166 | Brittany Lynn Perlis | Nurse Practitioner | 51 Mill St, Building E, Suite 17, Hanover, MA 02339-1641 | 2011-09-02 |
| 1104001361 | Linda Marie Baldaia | Nurse Practitioner | 7556 Teague Rd, Maryland Primary Care Physicians, Hanover, MD 21076 | 2008-01-07 |
| 1659461382 | Kathleen Mary Keffer | Nurse Practitioner | 217 Broadway, Hanover, PA 17331-2503 | 2006-10-13 |
| Find all providers in HANOVER | ||||
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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.