SHANNON BLANFORD (NPI# 1194379248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194379248 |
Entity Type | Individual |
Full Name | SHANNON BLANFORD |
Credential | STUDENT |
Practice Address |
2209 Genesee St Utica NY 13501-5930 |
Mailing Address |
320 Hunt Dr Fayetteville NY 13066-1228 |
Practice Telephone | 3158018100 |
Mailing Telephone | 3154121117 |
Enumeration Date | 2019-07-27 |
Last Update Date | 2019-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 024233 | NY | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1656 Champlin Ave, Utica, NY 135024830 | 3156246000 |
Street Address |
2209 GENESEE ST |
City | UTICA |
State | NY |
Zip Code | 13501-5930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821093402 | St Elizabeth Medical Center | General Acute Care Hospital | 2209 Genesee St, Utica, NY 13501-5930 | 2005-06-20 |
1134727944 | Nicholas James Romeo | Pharmacist | 2209 Genesee St, Utica, NY 13501-5930 | 2020-10-14 |
1073163440 | Julie Murphy | Social Worker | 2209 Genesee St, Utica, NY 13501-5999 | 2019-09-17 |
1417413741 | Tracy Lynn Zarate | Social Worker | 2209 Genesee St, Utica, NY 13501-5930 | 2019-02-12 |
1285119917 | Melissa Ann Peruzzi | Nurse Practitioner | 2209 Genesee St, Utica, NY 13501-5930 | 2018-09-28 |
1053821330 | Melanie Tedesco | Social Worker | 2209 Genesee St, Utica, NY 13501-5930 | 2017-10-02 |
1821507104 | Esma Zagorica | Social Worker | 2209 Genesee St, Utica, NY 13501-5930 | 2017-09-29 |
1578072856 | Jessica Willies | Social Worker | 2209 Genesee St, Utica, NY 13501-5930 | 2017-09-29 |
1659898567 | Amanda Vitro | Physical Therapist | 2209 Genesee St, Utica, NY 13501-5930 | 2017-08-23 |
1851823835 | Kathleen Weldon | Social Worker | 2209 Genesee St, Case Management, Utica, NY 13501-5930 | 2017-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
Find all providers in zip 13501 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427617935 | Caitlin A. Ullman | Physician Assistant | 20 Westminster Rd, Utica, NY 13501-6429 | 2019-06-08 |
1679049191 | Caroline Nora Going | Physician Assistant | 1675 Bennett St, Utica, NY 13502-5390 | 2018-10-23 |
1497277537 | Adam Paul Fenton | Physician Assistant | 2211 Genesee St Ste 200, Utica, NY 13501-5930 | 2017-07-11 |
1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
1861701732 | Jessica Faith Martin | Physician Assistant | 1676 Sunset Ave Ste 2, Utica, NY 13502-5416 | 2010-09-27 |
1528195260 | Kathleen Bridget Joly | Physician Assistant | 125 Business Park Dr, Suite 150, Utica, NY 13502-6304 | 2007-02-28 |
1457363228 | Steven E Fries | Physician Assistant | 1500 Genesee Street, Utica, NY 13502 | 2006-08-12 |
1003898560 | Esteban Onate | Physician Assistant | 116 Business Park Dr, 1st Floor, Utica, NY 13502-6313 | 2005-11-18 |
1801887690 | Michelle Tagliaferri | Physician Assistant | 6 Rhoads Dr, Utica, NY 13502-6317 | 2005-11-02 |
1508866054 | Lashawnda Latrice Giuffrida | Physician Assistant | 1703 Genesee St, Utica, NY 13501-5613 | 2005-07-27 |
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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.