SHANNON MARIE O'BRIEN (NPI# 1154567675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154567675 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE O'BRIEN |
| Other Name | SHANNON MARIE MACDONALD |
| Credential | CRNP |
| Practice Address |
239 Hurffville Crosskeys Rd Ste 370 Sewell NJ 08080 |
| Mailing Address |
239 Hurffville Crosskeys Rd Ste 370 Sewell NJ 08080-4007 |
| Practice Telephone | 8567283636 |
| Practice Fax Number | 8567283633 |
| Mailing Telephone | 5672836368 |
| Mailing Fax Number | 8567283633 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00867800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP010097 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Civic Center Blvd, West Pavilion 4th Floor, Philadelphia, PA 191045127 | 2156622300 | 2156140418 |
| 239 Hurffville Crosskeys Rd Ste 370, Sewell, NJ 080804007 | 8567283636 | 8567283633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770727950 | Shannon O'brien | Occupational Therapist | 19750 S Vermont Ave, Suite 140, Torrance, CA 90502-1119 | 2009-05-01 |
| 1366529182 | Shannon G O'brien | Counselor | 2821 N. 4th Street, Suite 139, Milwaukee, WI 53212 | 2006-11-01 |
| 1184240822 | Shannon O'brien | Occupational Therapist | 1 Reservoir Office Park Ste 104, Southbury, CT 06488-3926 | 2020-06-18 |
| 1508487323 | Shannon O'brien | Speech-Language Pathologist | 95 Bradhurst Ave, Valhalla, NY 10595-1697 | 2020-05-04 |
| 1720634215 | Shannon O'brien | Physical Therapist | 1691 Bethlehem Pike, Hatfield, PA 19440-1302 | 2019-08-12 |
| 1528620358 | Shannon O'brien | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2019-07-02 |
| 1144793183 | Shannon O'brien | Behavioral Analyst | 236 Gannett Dr, South Portland, ME 04106-6913 | 2019-01-02 |
| 1619407459 | Shannon O'brien | Physical Medicine & Rehabilitation | 26081 Merit Cir Ste 107, Laguna Hills, CA 92653-7017 | 2017-06-14 |
| 1952838476 | Shannon Joye O'brien | Chiropractor | 4390 Bells Ferry Rd Nw, Kennesaw, GA 30144-1354 | 2017-05-15 |
| 1154784130 | Shannon O'brien | Preventive Medicine | 13001 E 17th Pl Bldg 500, Aurora, CO 80045 | 2016-03-29 |
| Street Address |
239 HURFFVILLE CROSSKEYS RD STE 370 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316180490 | Advocare, LLC | Internal Medicine | 239 Hurffville Crosskeys Rd Ste 370, Advocare Delgiorno Endocrinology, Sewell, NJ 08080-4007 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1134472186 | Charaia A Hill | Nurse Practitioner | 539 Egg Harbor Rd Ste 1, Sewell, NJ 08080-2371 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
| 1518506534 | Csilla Molnar | Nurse Practitioner | 380 Mountain Rd Apt 1201, Union City, NJ 07087-7307 | 2019-12-23 |
| 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.