MR. SHANNON MARSHALL IKENBERRY (NPI# 1164601456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164601456 |
| Entity Type | Individual |
| Full Name | MR. SHANNON MARSHALL IKENBERRY |
| Credential | R.N.C., W.H.N.P. |
| Practice Address |
9 S Medical Park Dr Fishersville VA 22939-2333 |
| Mailing Address |
2291 Evelyn Byrd Ave Harrisonburg VA 22801-5424 |
| Practice Telephone | 5409325577 |
| Mailing Telephone | 5404343831 |
| Mailing Fax Number | 5404377451 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024167121 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9 S MEDICAL PARK DR |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770570756 | Lisa A Bukovac | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2005-10-04 |
| 1124504949 | Chesney Blythe Carroll | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2018-07-15 |
| 1649407032 | John Coiner | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939 | 2009-06-12 |
| 1538355367 | Nancy Powell Mason | Nurse Practitioner | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2007-09-14 |
| 1932290566 | Robert B. Thompson | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2006-09-27 |
| 1780775320 | John K Hoover | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2006-09-27 |
| 1023109725 | Mark Brooks | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2006-09-27 |
| 1558469478 | Randolph C Mahnesmith | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2006-09-21 |
| 1235236472 | Ob-gyn Associates Women's Health, Inc | Obstetrics & Gynecology | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538355367 | Nancy Powell Mason | Nurse Practitioner | 9 S Medical Park Dr, Fishersville, VA 22939-2333 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358651 | Mickeya Patrice Hayes | Nurse Practitioner | 700 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2020-08-26 |
| 1538790092 | Megan Renae Deel | Nurse Practitioner | 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 | 2020-02-03 |
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1609419704 | Crystal Zacker | Nurse Practitioner | 3843 Mountain Rd, Glen Allen, VA 23060-1936 | 2019-10-21 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1326500976 | Adetutu Marioghae | Nurse Practitioner | 12783 Sidney Way, Lake Ridge, VA 22192-7611 | 2019-04-03 |
| 1568928398 | Laurie Carpenter | Nurse Practitioner | 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 | 2019-02-18 |
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1437604881 | Rosalie Marie Gunson | Nurse Practitioner | 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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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.