SHANNON L RODRIGUEZ (NPI# 1316243736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316243736 |
| Entity Type | Individual |
| Full Name | SHANNON L RODRIGUEZ |
| Credential | CNS |
| Practice Address |
540 Walton Blvd Suite C Las Cruces NM 88001-8433 |
| Mailing Address |
5700 Mesa Grande Dr Las Cruces NM 88011-6017 |
| Practice Telephone | 5755214794 |
| Practice Fax Number | 5755242045 |
| Mailing Telephone | 5755257128 |
| Mailing Fax Number | 5755257136 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | CNS-00219 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 22732811 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295292068 | Shannon Elizabeth Rodriguez | Dietitian, Registered | 3128 Smoketree Ct Fl 3, Raleigh, NC 27604-1014 | 2019-02-27 |
| 1639725377 | Shannon Rodriguez | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-16 |
| 1043796675 | Shannon Rose Rodriguez | Physician Assistant | 2165 Little Rd, Trinity, FL 34655-4410 | 2018-07-17 |
| 1750832226 | Shannon Rodriguez | Marriage & Family Therapist | 24885 Whitewood Rd Ste 105, Murrieta, CA 92563-2004 | 2016-10-20 |
| 1255785515 | Shannon Rodriguez | Nurse Practitioner | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2016-04-22 |
| Street Address |
540 WALTON BLVD SUITE C |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-8433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912952003 | Melanie Gantner | Physician Assistant | 540 Walton Blvd, Ste C, Las Cruces, NM 88001-8433 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467657296 | Beverly Fay Cohen | Clinical Nurse Specialist | 2167 Manuel Medrano Rd, Santa Fe, NM 87505 | 2007-06-20 |
| 1639391378 | Susanne Rebekah Hays | Clinical Nurse Specialist | 1835 Propps St Ne, Albuquerque, NM 87112-3127 | 2007-05-03 |
| 1679699417 | Helen J Hendrixpoling | Clinical Nurse Specialist | 1100 Central Ave Se 2 Ruth Hanna, Phs Wound Clinic, Albuquerque, NM 87106 | 2007-03-22 |
| 1659382612 | Leslie Tuchmann | Clinical Nurse Specialist | Kaseman Hospital Palliative Care, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2006-08-11 |
| 1073574372 | Romona Dorothy Scholder | Clinical Nurse Specialist | 125 E Palace Ave, Office #74, Santa Fe, NM 87501 | 2006-03-28 |
| 1205317005 | Emma Marie Edgar | Clinical Nurse Specialist | 4901 Lang Ave Ne Ste 100, Albuquerque, NM 87109 | 2018-08-28 |
| 1225517477 | Scampbell Cns LLC | Clinical Nurse Specialist | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2018-08-08 |
| 1316323215 | Nicole Ann Murray | Clinical Nurse Specialist | 3821 Masthead St Ne, Albuquerque, NM 87109-4679 | 2015-08-03 |
| 1013340546 | Ruth Honey Covin-weeks | Clinical Nurse Specialist | 702 N 13th St, Artesia, NM 88210-1199 | 2013-08-20 |
| 1679812796 | Cathy Boschero, LLC | Clinical Nurse Specialist | 1700 N Union Ave, Roswell, NM 88201-3267 | 2013-02-08 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.