MRS. SHANNON IVY SPEECE (NPI# 1164654893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164654893 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON IVY SPEECE |
| Credential | ANP |
| Practice Address |
2609 Medical Office Pl Goldsboro NC 27534-9428 |
| Practice Telephone | 9197341779 |
| Mailing Telephone | 9197341779 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2012-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5449989 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2609 MEDICAL OFFICE PL |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649253360 | Tara M Staton | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2005-11-28 |
| 1982112066 | Tasha Westbrook Bollin | Nurse Practitioner | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2018-01-11 |
| 1033590401 | Lauren Lancaster | Nurse Practitioner | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2015-06-11 |
| 1205271145 | Aminu Isyaku Mohammed | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2013-05-06 |
| 1679879522 | John Paul Kumhyr | Physician Assistant | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2011-02-09 |
| 1942513130 | Cassandra Marie Hopkins | Nurse Practitioner | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2010-07-16 |
| 1891011136 | Wake Heart and Vascular Associates Pa | Specialist | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2010-04-12 |
| 1861728792 | Eastern Medical Associates | Non-Pharmacy Dispensing Site | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2009-10-28 |
| 1487852562 | Kimberly Rachelle Willis | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2007-07-10 |
| 1437356565 | Veeresh Anand Medlery | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740511559 | Carmalinda Early | Nurse Practitioner | 2600 Us Highway 70 W, Goldsboro, NC 27530-4808 | 2010-01-18 |
| 1831738178 | Charmay Deneen Fryar-robinson | Nurse Practitioner | 1402 Wayne Memorial Dr, Goldsboro, NC 27534-2235 | 2020-01-03 |
| 1225525322 | Dori Anna King | Nurse Practitioner | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2018-04-16 |
| 1285162008 | Michelle Toler | Nurse Practitioner | 1704a Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2017-05-24 |
| 1134598212 | Heather Rae Holland | Nurse Practitioner | 208 Cox Blvd, Goldsboro, NC 27534-9414 | 2015-09-18 |
| 1740682350 | Karen Vernon | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2014-09-25 |
| 1275961708 | Lindsey Wooten | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2013-10-18 |
| 1326356940 | Tara Mclamb | Nurse Practitioner | 208 Cox Blvd, Ste 102, Goldsboro, NC 27534-9414 | 2010-09-16 |
| 1942513130 | Cassandra Marie Hopkins | Nurse Practitioner | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2010-07-16 |
| 1326284795 | Victoria Mcintosh Respess | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2009-01-06 |
| Find all providers in GOLDSBORO | ||||
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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.