SHANNON WILLIAMSON CRIBB (NPI# 1285142216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285142216 |
| Entity Type | Individual |
| Full Name | SHANNON WILLIAMSON CRIBB |
| Credential | APRN, NP-C |
| Practice Address |
920 Doug White Dr Ste 510 Myrtle Beach SC 29572-4120 |
| Practice Telephone | 8434977772 |
| Practice Fax Number | 8438487530 |
| Mailing Telephone | 8434977772 |
| Mailing Fax Number | 8438487530 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 21570 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21570 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4987 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8 Richland Medical Park Dr, Columbia, SC 292038005 | 8034343800 | 8037442759 |
| 6 Richland Medical Park Dr, Columbia, SC 292036864 | 8034347000 | |
| 115 N Sumter St Ste 410, Sumter, SC 29150 | 8037749797 | 8037749796 |
| Street Address |
920 DOUG WHITE DR STE 510 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760478242 | Russell Frank Stahl | Specialist | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2005-09-21 |
| 1235761768 | Tara Katherine Bruno | Nurse Practitioner | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2020-02-12 |
| 1629525225 | Robert Christian Dutlinger | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 | 2016-09-01 |
| 1063875474 | Tamiko Jackson | Nurse Practitioner | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2016-04-01 |
| 1932515558 | Shashikanth Nagabandi | Internal Medicine | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4183 | 2014-07-02 |
| 1023443231 | Morgan Overton Phillips | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2013-09-06 |
| 1043505092 | Katy Johnson | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-06-17 |
| 1710285051 | Heather Suzannah Cahoy | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-03-10 |
| 1063718807 | Ernest W Stokes IIi | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-01-26 |
| 1104121045 | Nicole Garrett | Physician Assistant | 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 | 2011-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671027 | Tara Sharay Woods | Nurse Practitioner | 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579-4204 | 2019-10-24 |
| 1629611694 | Nancy Lauren Johnson | Nurse Practitioner | 101 Mcleod Health Blvd, Myrtle Beach, SC 29579-4477 | 2019-10-23 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1528569712 | Sarah Manglicmot Campos | Nurse Practitioner | 2050 Corporate Centre Dr Ste 220, Myrtle Beach, SC 29577-7428 | 2018-02-23 |
| 1679088793 | Maribeth Reid | Nurse Practitioner | 3236 Holmestown Rd Unit E1, Myrtle Beach, SC 29588-7495 | 2017-12-12 |
| 1184165714 | Emily Whitehurst | Nurse Practitioner | 3913 Carnegie Ave, Apt 216, Myrtle Beach, SC 29588-1144 | 2017-03-15 |
| 1851835441 | Sandra Graham | Nurse Practitioner | 101 Mcleod Health Blvd Ste 202, Myrtle Beach, SC 29579-4477 | 2016-12-15 |
| 1487058434 | Ashley Adams | Nurse Practitioner | 4887 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2014-10-20 |
| 1699191262 | Tiffany Mahaffey | Nurse Practitioner | 1101 Brightwater Drive, Agape Physicians Care, Myrtle Beach, SC 29579 | 2014-03-06 |
| 1902235864 | Larissa Connell | Nurse Practitioner | 2510 N Kings Hwy, Myrtle Beach, SC 29577-3037 | 2013-11-01 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
Please comment or provide details below to improve the information on SHANNON WILLIAMSON CRIBB.
| 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.