SHINE PSYCHIATRY (NPI# 1306444260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306444260 |
| Entity Type | Organization |
| Organization Name | SHINE PSYCHIATRY |
| Practice Address |
16 Route 111 Ste 4 Derry NH 03038-4142 |
| Practice Telephone | 6034041928 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | MARION TAYLOR (CMO) |
| Authorized Official Telephone | 6034041928 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16 ROUTE 111 STE 4 |
| City | DERRY |
| State | NH |
| Zip Code | 03038-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675824 | Alex Reardon | Nurse Practitioner | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949129 | Northstar Psychiatric Health Pllc | Nurse Practitioner | 380 Lafayette Rd Unit 11-121, Seabrook, NH 03874-4551 | 2020-07-16 |
| 1740800028 | Julie Cunningham Psychiatric Services Pllc | Nurse Practitioner | 17 Windham Rd, Pelham, NH 03076-2371 | 2020-04-16 |
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1912544008 | Onward Psychiatry, LLC | Nurse Practitioner | 2 Ash St, Hollis, NH 03049-6548 | 2019-12-08 |
| 1669036638 | Lisa Williams Aprn Pllc | Nurse Practitioner | 16 Vista Ridge Dr Unit 219, Londonderry, NH 03053-2479 | 2019-04-25 |
| 1609347087 | Psychiatric Empowerment Services, Pllc | Nurse Practitioner | 76 Northeastern Blvd Ste Office1b, Nashua, NH 03062-3174 | 2018-12-11 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1144732074 | Altum Psychiatric Services, Pllc | Nurse Practitioner | 1 Bridge St Ste 210, Plymouth, NH 03264-1623 | 2017-11-01 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
| 1750891909 | Tonia Clare Bowman | Nurse Practitioner | 463 River Road, South Acworth, NH 03607 | 2017-10-02 |
| 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.