SHANNON M MENTZER (NPI# 1184957839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184957839 |
| Entity Type | Individual |
| Full Name | SHANNON M MENTZER |
| Other Name | SHANNON M WOOLARD |
| Credential | ARNP |
| Practice Address |
1236 E Rusholme St Suite 300 Davenport IA 52803-2434 |
| Practice Telephone | 5633242992 |
| Practice Fax Number | 5633248562 |
| Mailing Telephone | 5633242992 |
| Mailing Fax Number | 5633248562 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A088931 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1236 E RUSHOLME ST SUITE 300 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986837 | Prakash R Bontu | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1942606413 | Ellen Terese Holm | Nurse Practitioner | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2014-11-11 |
| 1619228392 | Meredith Lee Hodgson | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2012-09-21 |
| 1720382542 | Julie Ann Shereda | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2011-01-08 |
| 1760792683 | Cynthia D Burkholder | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2010-10-13 |
| 1497080709 | Srikanth Reddy Kasula | Internal Medicine | 1236 E Rusholme St, Ste 300, Davenport, IA 52803-2434 | 2009-10-05 |
| 1538353784 | Paula Jean Bryant | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2007-08-30 |
| 1689724700 | Denise Elaine Antle | Clinical Nurse Specialist | 1236 E Rusholme St, Davenport, IA 52803-2473 | 2007-01-11 |
| 1871687087 | Michael Joseph Gimbel IIi | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2434 | 2006-10-03 |
| 1104936087 | Shawna Kaye Duske | Nurse Practitioner | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857222 | Caren R Nituda | Nurse Practitioner | 1051 Andalusia Loop, Davenport, FL 33837-1443 | 2020-10-05 |
| 1497360796 | Ashlee Elizabeth Winter | Nurse Practitioner | 1132 Elderberry Dr, Davenport, FL 33897-3853 | 2020-09-14 |
| 1932712080 | Ana Maria Delinski | Nurse Practitioner | 325 Nevada Loop Rd, Davenport, FL 33897-5611 | 2020-08-28 |
| 1508475369 | Kisha Kay Blunk | Nurse Practitioner | 5374 Eastern Ave Ste 100, Davenport, IA 52807-2719 | 2020-07-28 |
| 1184252447 | Jean Carlos Torres Davila | Nurse Practitioner | 296 Arbor Lakes Dr, Davenport, FL 33896-8167 | 2020-03-31 |
| 1760012835 | Angela Marie Escobar | Nurse Practitioner | 537 Westwind Dr, Davenport, FL 33896-6613 | 2020-01-17 |
| 1467091660 | Jennifer G Kirkland | Nurse Practitioner | 105 Park Place Blvd Ste A, Davenport, FL 33837-6870 | 2020-01-06 |
| 1831738483 | Jonathan Torres Pabon | Nurse Practitioner | 464 Sardinia Cir, Davenport, FL 33837-5863 | 2019-12-31 |
| 1477114460 | Christine Marie Pales | Nurse Practitioner | 2972 Bella Vista Dr, Davenport, FL 33897-3680 | 2019-06-21 |
| 1699235184 | Carol Laverne Anderson | Nurse Practitioner | 5229 Cortland Dr, Davenport, FL 33837-1763 | 2019-03-21 |
| Find all providers in DAVENPORT | ||||
Please comment or provide details below to improve the information on SHANNON M MENTZER.
| 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.