SANDRA JEAN SHADLEY (NPI# 1255777322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255777322 |
| Entity Type | Individual |
| Full Name | SANDRA JEAN SHADLEY |
| Credential | R.N. |
| Practice Address |
225 Sherburne St N Stillwater MN 55082-4726 |
| Practice Telephone | 6512763844 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R137845-6 | MN | Nursing Service Providers |
| Street Address |
225 SHERBURNE ST N |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411988 | Paragon Psychiatric Nursing Services | Home Health | 225 Sherburne St N, Stillwater, MN 55082-4726 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960421 | Amy Jean Hoffman | Registered Nurse | 1624 Cimarron Plz, Stillwater, OK 74075-3467 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073095063 | Taylor Ohotto | Registered Nurse | 644 Willoughby Way W, Hopkins, MN 55305-5352 | 2018-09-05 |
| 1043650534 | William Clare Cebulla | Registered Nurse | 29538 Olinda Trl, Lindstrom, MN 55045-9440 | 2013-06-27 |
| 1851638159 | Mary Kay Borgstrom | Registered Nurse | 905 Forest Ave E Ste 150, Mora, MN 55051-1632 | 2013-01-08 |
| 1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
| 1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
| 1093862732 | April Leta Wolfson | Registered Nurse | 327 Marschall Rd # 350, Shakopee, MN 55379-1687 | 2007-01-04 |
| 1992716245 | Cheryl A. Covert | Registered Nurse | 1044 Saint Johns Bay, Woodbury, MN 55129-8537 | 2006-08-11 |
| 1730164567 | Kathleen J Lietzau | Registered Nurse | 6950 146th St W, Suite 100, Apple Valley, MN 55124-4513 | 2005-12-14 |
| 1760956668 | Kathleen Elizabeth Pengelly | Registered Nurse | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-01-15 |
| 1134497399 | Barbara Ann Erickson | Registered Nurse | 300 S 6th St, Government Center A1400, Minneapolis, MN 55487-0999 | 2011-12-02 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on SANDRA JEAN SHADLEY.
| 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.