MRS. SHANNON BARDIN PHELPS (NPI# 1255468781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255468781 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON BARDIN PHELPS |
| Credential | F.N.P. |
| Practice Address |
110a Village Rd Ne Leland NC 28451-7412 |
| Mailing Address |
Po Box 1369 Shallotte NC 28459-1369 |
| Practice Telephone | 9103710055 |
| Practice Fax Number | 9103710061 |
| Mailing Telephone | 9108422443 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201344 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881884740 | Shannon R Phelps | Physical Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2007-07-26 |
| Street Address |
110A VILLAGE RD NE |
| City | LELAND |
| State | NC |
| Zip Code | 28451-7412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1134164916 | Heather Lloyd | Nurse Practitioner | 201 Baker Blvd, Leland, MS 38756 | 2006-06-17 |
| 1053717710 | Jennifer M Bennett | Nurse Practitioner | 1333 S Dickinson Dr Unit 140, Leland, NC 28451-6434 | 2014-11-07 |
| 1336490713 | Lacie A Brackeen | Nurse Practitioner | 201 Baker Blvd, Leland, MS 38756-3401 | 2012-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.