SHANNON DENISE BRECIK (NPI# 1295279404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295279404 |
| Entity Type | Individual |
| Full Name | SHANNON DENISE BRECIK |
| Credential | FNP |
| Practice Address |
930 Sw Abbey St Newport OR 97365-4820 |
| Mailing Address |
Po Box 2847 Corvallis OR 97339-2847 |
| Practice Telephone | 5415744860 |
| Practice Fax Number | 5418122063 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201702129NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
TAPRN701508 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
930 SW ABBEY ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818663 | Donald W Stoddard | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2005-11-18 |
| 1568091296 | Lauren Morrison Burns | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2020-04-04 |
| 1669013561 | Douglas Edward Witzke | Pharmacist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2019-10-01 |
| 1417459108 | Michelle Cowles | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2018-03-08 |
| 1982106621 | Nayla Johnson | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-03-07 |
| 1124527791 | Nicole Jolin | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-02-08 |
| 1013449966 | Debra Pankiewicz | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-30 |
| 1760923015 | Joshua Estep | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-19 |
| 1295275667 | Robert Bennett | Physical Therapist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-03 |
| 1851750046 | Jennifer Rainey | Physician Assistant | 930 Sw Abbey St, Newport, OR 97365-4820 | 2016-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1699328765 | Kristin Renae Hickman | Nurse Practitioner | 434 4th St Ste 310, Newport, TN 37821-3735 | 2019-07-18 |
| 1467919423 | Sara Gdowski | Nurse Practitioner | 9083 Maple Ridge Dr, Newport, MI 48166-9285 | 2019-02-26 |
| 1639633191 | Kristen Renae Tabor | Nurse Practitioner | 1532 Sherwood Dr, Newport, TN 37821-7124 | 2019-01-29 |
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1871097212 | Amanda Therese Wuebben | Nurse Practitioner | 4388 Partridge Ln, Newport, MI 48166-9189 | 2018-03-21 |
| 1497261093 | Tiffany Paige Holcomb | Nurse Practitioner | 300 Corrections Dr, Newport, AR 72112-8008 | 2017-12-18 |
| 1386165108 | Maureen Anne Burns | Nurse Practitioner | 612 Grandview Ave, Newport, KY 41071-2847 | 2017-07-01 |
| 1235684184 | Meghan Hart | Nurse Practitioner | 756 Cosby Hwy, Newport, TN 37821-3455 | 2016-08-22 |
| 1215329784 | Jessica Manning | Nurse Practitioner | 216 Hedrick Dr, C/o Cocke County High School, Newport, TN 37821-2906 | 2015-02-20 |
| Find all providers in NEWPORT | ||||
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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.