SHANNON V. TAYLOR (NPI# 1265412084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265412084 |
| Entity Type | Individual |
| Full Name | SHANNON V. TAYLOR |
| Credential | PA-C |
| Practice Address |
698 Featherstone Rd Rockford IL 61107-6303 |
| Practice Telephone | 8153983277 |
| Practice Fax Number | 8154847001 |
| Mailing Telephone | 8153983277 |
| Mailing Fax Number | 8154847001 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085001215 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952882227 | Shannon Rae Taylor | Nurse Practitioner | 550 Carothers Ln, Russellville, AR 72802-8231 | 2018-08-24 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1346690914 | Shannon Taylor | Case Manager/Care Coordinator | 1778 N Gregg Ave Apt 1, Fayetteville, AR 72703-2471 | 2016-06-15 |
| 1477927317 | Shannon Taylor | Occupational Therapist | 10337 Emerald Rock Dr, Oakton, VA 22124-2705 | 2015-11-16 |
| 1285031419 | Shannon Taylor | Counselor | 4006 Gettysburg Rd, Camp Hill, PA 17011-6707 | 2014-12-03 |
| 1609201011 | Shannon Taylor | Contractor | 5323 D St Se, Washington, DC 20019-6128 | 2013-09-05 |
| 1558619742 | Shannon Lea Taylor | Social Worker | 40 Main St Bldg 13, Biddeford, ME 04005-5178 | 2012-08-21 |
| 1750646832 | Shannon Marie Taylor | Dentist | 34 Brunswick St, Byhalia, MS 38611-7000 | 2012-07-05 |
| 1811153109 | Shannon Elizebethann Taylor | Clinical Neuropsychologist | 9555 Lebanon Rd., Suite 902, Frisco, TX 75035 | 2008-08-06 |
| 1972723492 | Shannon M Taylor | Speech-Language Pathologist | 965 West Rd, Mountain Home, AR 72653-4544 | 2007-04-26 |
| Street Address |
698 FEATHERSTONE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595296 | Amy L Ailes Dinello | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2005-08-22 |
| 1285949800 | Syed Rafe Zaidi | Family Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2010-08-09 |
| 1154567964 | Leesa E Gillooley | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2008-12-29 |
| 1881889194 | Pedro Rodriguez | Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-10 |
| 1861687584 | Nipun Chhabra | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-06 |
| 1699968263 | Saint Anthony Medical Center | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-08-27 |
| 1124141825 | Terrence R Loughlin | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-09 |
| 1891817441 | Kavitha Subramanian | Internal Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-04 |
| 1497899009 | Dhaval M Patel | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-02-16 |
| 1790894897 | Sarah E Hagarty | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003307463 | Alexander Whitney | Physician Assistant | 1055 Featherstone Rd Ste C, Rockford, IL 61107-5904 | 2018-05-22 |
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1295722411 | Kristin N. Rindt | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-10-03 |
| 1033746573 | Erin Ashleigh Donahue | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-03-25 |
| 1932741717 | Jacob Dalton Boehm | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-10-12 |
| 1801369236 | Antasia M Kersch | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-01-08 |
| 1447729413 | Kelsey Michelle Jebb | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2018-11-19 |
| 1982118287 | Jeremy Brunner | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2017-11-22 |
| 1528444833 | Travis Ryan Guest | Physician Assistant | 8501 Meadow Crk, Rockford, MI 49341 | 2015-08-10 |
| 1104101823 | Douglas Alan Blazer | Physician Assistant | 3475 S Alpine Rd, Rockford, IL 61109-2604 | 2011-10-13 |
| Find all providers in ROCKFORD | ||||
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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.