MS. SHANDALYN ANN CERDA (NPI# 1124538830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124538830 |
| Entity Type | Individual |
| Full Name | MS. SHANDALYN ANN CERDA |
| Credential | FNP-C |
| Practice Address |
321 Timbercreek Ct Princeton TX 75407-5738 |
| Practice Telephone | 2145193564 |
| Mailing Telephone | 2145193564 |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2017-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135269 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
321 TIMBERCREEK CT |
| City | PRINCETON |
| State | TX |
| Zip Code | 75407-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663723 | Kristine Schuerger | Specialist/Technologist | 960 Bois D'arc Dr., Princeton, TX 75407 | 2020-09-14 |
| 1205478286 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 1401 W. Princeton Dr., Princeton, TX 75407 | 2019-10-11 |
| 1437685328 | Myia Billy | Counselor | 1306 N 6th Street, Princeton, TX 75407 | 2017-05-11 |
| 1144675760 | Deseye, LLC | Optometrist | 701 West Princeton Dr, Princeton, TX 75407 | 2016-05-02 |
| 1164737540 | David Tien Si Vo | Dentist | 275 West Princeton Dr., Suite 100, Princeton, TX 75407 | 2010-08-10 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1598946071 | Pharmacy Operations Inc | Durable Medical Equipment & Medical Supplies | 501 E Princeton Dr, Ste 100, Princeton, TX 75407 | 2007-11-26 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1306955455 | David W. Cho | Dentist | 200 S. Beauchamp Blvd, Suite 104, Princeton, TX 75407 | 2006-08-30 |
| 1477593457 | Jeremy Christopher Schmid | Chiropractor | 712 W Princeton Drive, Princeton, TX 75407 | 2006-06-07 |
| Find all providers in zip 75407 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1699313916 | Alla Hodges | Nurse Practitioner | 1507 Jonathan Ct, Princeton, NJ 08540-9565 | 2019-12-17 |
| 1760027692 | Florence J Choge | Nurse Practitioner | 3626 Route 1, Princeton Wound Care Center, Princeton, NJ 08450-5922 | 2019-11-14 |
| 1538701313 | Kanan H. Bhatt | Nurse Practitioner | 29 Rutgers Ln, Princeton, NJ 08540-7934 | 2019-10-12 |
| 1255994950 | Alicia Arkell | Nurse Practitioner | 515 Mercer St, Princeton, WV 24740-3109 | 2019-04-17 |
| 1639681265 | Melissa S Mclain | Nurse Practitioner | 530 Park Ave E Ste 207, Princeton, IL 61356-3902 | 2017-11-05 |
| 1790092195 | Sarah Megan Spencer | Nurse Practitioner | 402 East Dr, Princeton, WV 24740 | 2010-09-07 |
| 1043443229 | Lynn Marie Calvert | Nurse Practitioner | 311 E Princeton Dr, Princeton, TX 75407-9008 | 2009-09-03 |
| 1275757619 | Sara T Ingraffia | Nurse Practitioner | Princeton University Health Serv Mccosh Health Ctr, Washington Road, Princeton, NJ 08544-0001 | 2007-04-13 |
| 1659428357 | Virginia Donnelly | Nurse Practitioner | 281 Witherspoon St Ste 210, Princeton, NJ 08540-3210 | 2007-01-04 |
| Find all providers in PRINCETON | ||||
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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.