SHANNON ROSE DAVIDSON (NPI# 1053571562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053571562 |
| Entity Type | Individual |
| Full Name | SHANNON ROSE DAVIDSON |
| Credential | NP |
| Practice Address |
3000 Watercove Rd Midlothian VA 23112-3982 |
| Mailing Address |
13332 Midlothian Tpke Midlothian VA 23113-4210 |
| Practice Telephone | 8047440200 |
| Practice Fax Number | 8047448417 |
| Mailing Telephone | 8047945598 |
| Mailing Fax Number | 8043378194 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024167546 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548102 | Shannon Marie Davidson | Registered Nurse | 420 S 5th Ave, West Reading, PA 19611-2143 | 2018-11-28 |
| 1174875827 | Shannon Nicole Davidson | Nurse Anesthetist, Certified Registered | 1500 Sw 10th Ave, Topeka, KS 66604-1301 | 2012-10-04 |
| 1023209350 | Shannon Davidson | Optometrist | 1001 W Fifth St, Marysville, OH 43040 | 2007-08-01 |
| Street Address |
3000 WATERCOVE RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640027 | Jeffrey N Greer | Specialist | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2005-06-27 |
| 1538716758 | Tanya H Brown | Nurse Practitioner | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2019-08-22 |
| 1083087597 | Joshua Harris | Physician Assistant | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2015-11-05 |
| 1104212323 | Andrew Hilldrup | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2015-04-14 |
| 1992931679 | Amy Kathleen O'toole Marshall | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2009-06-08 |
| 1447295506 | Monica J. Forth | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2006-06-20 |
| 1063464642 | Russell H Myers | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2006-05-16 |
| 1528010097 | Robert E. Mayfield | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2006-05-16 |
| 1366494627 | Edward Laurence Boyce Jr. | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2006-05-16 |
| 1568414092 | Herbert A King II | Family Medicine | 3000 Watercove Rd, Midlothian, VA 23112-3982 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763871 | David H Cox | Nurse Practitioner | 14518 Farcet Dr, Midlothian, VA 23112-4571 | 2020-02-22 |
| 1811531080 | Triciah Cowden | Nurse Practitioner | 218 Canterbury Ct, Midlothian, TX 76065-1417 | 2019-10-31 |
| 1649811316 | Jaceelli Healthcare | Nurse Practitioner | 213 Timberline Dr, Midlothian, TX 76065-5611 | 2019-10-03 |
| 1437627478 | Ht Family Care Associates LLC | Nurse Practitioner | 6629 Morning Dew Dr, Midlothian, TX 76065-7953 | 2018-11-07 |
| 1497238679 | Courtney Lynn Gold | Nurse Practitioner | 4943 Valley Crest Dr Apt 103, Midlothian, VA 23112-8608 | 2018-09-13 |
| 1396256012 | Sunny U Kim | Nurse Practitioner | 14051 St Francis Blvd Ste 2210, Midlothian, VA 23114-3203 | 2017-10-20 |
| 1669837118 | Fei Han | Nurse Practitioner | 2618 Savage View Dr, Midlothian, VA 23112-4387 | 2015-12-29 |
| 1386070902 | Erin Lee Stratton | Nurse Practitioner | 6127 Harbourside Centre Loop, Midlothian, VA 23112-2162 | 2013-09-16 |
| 1043513492 | Dana Allen Kleinschuster | Nurse Practitioner | 5595 Harbour Park Dr, Midlothian, VA 23112 | 2010-12-07 |
| 1841312683 | Maureen P Flattery | Nurse Practitioner | 1400 Groton Ct, Midlothian, VA 23114-3254 | 2007-04-04 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.