MRS. SHANNON MARIE MCNEILL (NPI# 1154705788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154705788 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MARIE MCNEILL |
| Credential | N.P. |
| Practice Address |
2300 Randolph Rd Suite A Charlotte NC 28207-1127 |
| Practice Telephone | 7043167760 |
| Mailing Telephone | 7043167760 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
239984 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467856906 | Shannon Mcneill | Psychologist | 940 Belmont St, Brockton Vamc (116a), Brockton, MA 02301-5596 | 2014-10-13 |
| 1023424082 | Shannon Mcneill | Pharmacist | 2505 Whitney Ave, Hamden, CT 06518-3019 | 2014-07-10 |
| Street Address |
2300 RANDOLPH RD SUITE A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710978986 | David C Voellinger | Surgery | 2300 Randolph Rd, Charlotte, NC 28207-1127 | 2005-11-04 |
| 1588017149 | Patricia M Kiser | Dietitian, Registered | 2300 Randolph Rd, Suite A, Charlotte, NC 28207-1127 | 2016-07-19 |
| 1710246236 | Kristen L.m. Shaben | Dietitian, Registered | 2300 Randolph Rd, Charlotte, NC 28207-1562 | 2012-05-04 |
| 1487975736 | Shari S Khalili | Dietitian, Registered | 2300 Randolph Rd, Charlotte, NC 28207-1562 | 2010-06-21 |
| 1790017259 | Heather K Mackie | Dietitian, Registered | 2300 Randolph Rd, Charlotte, NC 28207-1562 | 2010-02-09 |
| 1386975597 | Kendra K Moree | Social Worker | 2300 Randolph Rd, Charlotte, NC 28207-1562 | 2010-01-28 |
| 1982935805 | Novant Medical Group Inc | Internal Medicine | 2300 Randolph Rd, Ste A, Charlotte, NC 28207-1586 | 2010-01-15 |
| 1700110830 | Heather Staton Colomb | Counselor | 2300 Randolph Rd, Charlotte, NC 28207-1562 | 2009-09-22 |
| 1679700769 | Ellen A. Carraro | Surgery | 2300 Randolph Rd, Suite A, Charlotte, NC 28207-1127 | 2009-06-16 |
| 1104989128 | Timothy James Leonard | Physician Assistant | 2300 Randolph Rd, Ste A, Charlotte, NC 28207-1127 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
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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.