MRS. JENNIFER LEA MYERS SHOTWELL (NPI# 1083796940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083796940 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEA MYERS SHOTWELL |
| Credential | MSN CPNP |
| Practice Address |
64-1032 Mamalahoa Hwy Suite 204 Kamuela HI 96743-8441 |
| Mailing Address |
Po Box 6149 Kamuela HI 96743-6149 |
| Practice Telephone | 8088876543 |
| Practice Fax Number | 8088876294 |
| Mailing Telephone | 8088876543 |
| Mailing Fax Number | 8088876294 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
270 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720587173 | Jennifer Cummings Shotwell | Counselor | 2626 Cole Ave Ste 300, Dallas, TX 75204-1094 | 2018-02-12 |
| 1548785140 | Jennifer Lynn Shotwell | Radiology | 462 Grider St, Buffalo, NY 14215-3021 | 2017-08-04 |
| Street Address |
64-1032 MAMALAHOA HWY SUITE 204 |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598777633 | Steven Clyde Kaplan | Pediatrics | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2006-08-13 |
| 1063954634 | Mango Foundation, Inc. | Clinic/Center | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743-8441 | 2016-11-14 |
| 1790162378 | Margie S Kaiser | Massage Therapist | 64-1032 Mamalahoa Hwy, Suite 105, Kamuela, HI 96743-8441 | 2015-05-02 |
| 1245617919 | Brianna Rose Marr | Massage Therapist | 64-1032 Mamalahoa Hwy, Suite 105, Kamuela, HI 96743-8441 | 2015-05-01 |
| 1487058418 | Tiare Kaleinani Hartman | Physician Assistant | 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743 | 2014-10-20 |
| 1437588969 | Joshua Lessard-chaudoin | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743-8441 | 2013-11-05 |
| 1215299979 | North Hawaii Child Development Program | Early Intervention Provider Agency | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2012-06-08 |
| 1376837997 | Duerler, Inc. | Preventive Medicine | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743 | 2011-05-31 |
| 1619278280 | Meghan Elizabeth Gallagher | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2010-11-12 |
| 1578702007 | Lawrence Derbes Md Inc. | Internal Medicine | 64-1032 Mamalahoa Hwy, Suite 201, Kamuela, HI 96743-8441 | 2009-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114383767 | Neeva Lemmel-duerr | Nurse Practitioner | 64-1032 Mamalahoa Hwy Ste 204, Kamuela, HI 96743-8441 | 2016-01-13 |
| 1619278280 | Meghan Elizabeth Gallagher | Nurse Practitioner | 64-1032 Mamalahoa Hwy, Suite 204, Kamuela, HI 96743-8441 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382700 | Katherine Finn Davis | Nurse Practitioner | 2528 Mccarthy Mall, Webster Hall 410, Honolulu, HI 96822-2214 | 2017-01-10 |
| 1053860650 | Lindsey Elizabeth Kauimalula Guth | Nurse Practitioner | 871 Lahainaluna Rd, Lahaina, HI 96761-1329 | 2016-09-25 |
| 1649636853 | Cortney Crocker | Nurse Practitioner | 1302 Queen Emma St, Honolulu, HI 96813-2366 | 2016-01-05 |
| 1073919528 | Emma Elizabeth Holland | Nurse Practitioner | 204 Julian Ave, Honolulu, HI 96818-5109 | 2014-11-11 |
| 1306267935 | Bryscen Prothero | Nurse Practitioner | 91-1089 Kaiko St, Ewa Beach, HI 96706-6035 | 2013-12-28 |
| 1851720502 | Mary Satterfield | Nurse Practitioner | 1803 Kamehameha Iv Rd, Honolulu, HI 96819-2627 | 2013-11-04 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1831437953 | Tammie Katherine Yukie Napoleon | Nurse Practitioner | 1461 Kuhio Highway, Kapaa, HI 96746-9307 | 2013-01-24 |
| 1336448158 | Jeanette Champeau Leitner | Nurse Practitioner | 30 Aulike St Ste 500, Kailua, HI 96734-2752 | 2011-03-18 |
| 1609107655 | Kaberi K Mozumder | Nurse Practitioner | 120 Makani Rd, Makawao, HI 96768 | 2010-01-14 |
| Find all providers with the same taxonomy | ||||
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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.