SHANA S O'ROARK (NPI# 1093903270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093903270 |
| Entity Type | Individual |
| Full Name | SHANA S O'ROARK |
| Other Name | SHANA S PESCHON |
| Credential | RN, FNP |
| Practice Address |
1255 W 15th St Ste 100 Plano TX 75075-7262 |
| Mailing Address |
200 Oceangate Ste 100 Long Beach CA 90802-4317 |
| Practice Telephone | 8885625442 |
| Practice Fax Number | 5624996171 |
| Mailing Telephone | 5624353666 |
| Mailing Fax Number | 5624996171 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 620562 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 191807001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5802 Micah Ln, Rosenberg, TX 774711600 | 8325358393 | |
| 7610 W Hwy 71 Ste F, Austin, TX 787358239 | 5122880859 |
| Street Address |
1255 W 15TH ST STE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-7262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275033664 | Dulce Sofia Cano | Nurse Practitioner | 1255 W 15th St Ste 100, Plano, TX 75075-7262 | 2018-02-13 |
| 1669835708 | Adriana Cantu | Nurse Practitioner | 1255 W 15th St Ste 100, Plano, TX 75075 | 2016-04-04 |
| 1366883035 | Charlotte F. Isah | Nurse Practitioner | 1255 W 15th St Ste 100, Plano, TX 75075-7262 | 2013-07-10 |
| 1356627996 | Patricia Fagan | Nurse Practitioner | 1255 W 15th St Ste 100, Plano, TX 75075 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| 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 |
|---|---|---|---|---|
| 1821695255 | Medigence Health, Inc. | Nurse Practitioner | 1401 Capital Ave Ste D, Plano, TX 75074-8181 | 2020-10-08 |
| 1164068391 | Ralf Wancha | Nurse Practitioner | 1947 K Ave Ste A400, Plano, TX 75074-5943 | 2019-11-22 |
| 1831752427 | Amy Marie Stewart | Nurse Practitioner | 936 Stone Trail Dr, Plano, TX 75023-7131 | 2019-04-18 |
| 1841770583 | Angela Lain | Nurse Practitioner | 8232 Preston Rd Ste 115, Plano, TX 75024-2372 | 2018-08-21 |
| 1467952879 | Emmy Kirui-modi | Nurse Practitioner | 1360 Star Ct # T3, Plano, TX 75074-7353 | 2018-02-13 |
| 1710403894 | Fely Jane Ong | Nurse Practitioner | 4865 Hedgecoxe Rd, Suite 400, Plano, TX 75024 | 2017-08-21 |
| 1629426846 | Reliant Provider Services, LLC | Nurse Practitioner | 6860 Dallas Pkwy, Ste 550, Plano, TX 75024-4232 | 2016-05-27 |
| 1104254986 | Phianh Thi Nguyen | Nurse Practitioner | 6124 W Parker Rd Ste 336, Plano, TX 75093-8124 | 2013-10-14 |
| 1962696690 | Kala Robin Dehaan-hill | Nurse Practitioner | 2301 Ohio Drive #136, Plano, TX 75093 | 2007-09-06 |
| 1487703609 | Paula Harrison | Nurse Practitioner | 2145 Ironside Dr, Plano, TX 75075-3011 | 2007-01-09 |
| Find all providers in PLANO | ||||
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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.