MRS. SHANNON LEANN MABIE (NPI# 1124502190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124502190 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON LEANN MABIE |
| Credential | FNP-C |
| Practice Address |
255 Terracina Blvd Ste 202 Redlands CA 92373-4870 |
| Mailing Address |
255 Terracina Blvd Ste 202 Redlands CA 92373-4870 |
| Practice Telephone | 9097486065 |
| Mailing Telephone | 9517565642 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95010011 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
255 TERRACINA BLVD STE 202 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426465 | Jennifer Chiriano | Nurse Practitioner | 1473 Ford St Ste 104, Redlands, CA 92373-3915 | 2020-01-23 |
| 1780159806 | Diem-trinh Tran Le | Nurse Practitioner | 800 E Lugonia Ave Ste F, Redlands, CA 92374-2550 | 2018-10-04 |
| 1972018364 | Paul Agbor Naenge | Nurse Practitioner | 1632 Hamilton Ct, Redlands, CA 92374-4757 | 2017-12-06 |
| 1831634575 | Angelika Aleksandra Rodriguez | Nurse Practitioner | 1900 Horse Trail Dr, Redlands, CA 92373-6961 | 2017-01-04 |
| 1932594678 | Maria Ortega | Nurse Practitioner | 1305 Susan Ave, Redlands, CA 92374-2743 | 2015-03-31 |
| 1124426994 | Bler B. Sacay | Nurse Practitioner | 1539 Carmel Ct, Redlands, CA 92374-2716 | 2014-12-10 |
| 1306252945 | Marian Llaguno | Nurse Practitioner | 721 Nevada St Ste 406, Redlands, CA 92373-8053 | 2014-07-03 |
| 1609137074 | Jennifer Miwa Uyeda | Nurse Practitioner | 1601 Barton Rd Apt 4101, Redlands, CA 92373-5369 | 2012-06-01 |
| 1760741805 | Lori Urban | Nurse Practitioner | 25828 Redlands Blvd Ste 103, Redlands, CA 92373-8451 | 2012-05-10 |
| 1780864967 | Lisa Moreno | Nurse Practitioner | 203 S San Mateo St, Redlands, CA 92373-5030 | 2007-11-06 |
| Find all providers in REDLANDS | ||||
Please comment or provide details below to improve the information on MRS. SHANNON LEANN MABIE.
| 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.