SHENELL THOMAS


Address: 2320 E 93rd St, Chicago, IL 60617-3909
Phone: 7739672000

SHENELL THOMAS (NPI# 1316304637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316304637
Entity Type Individual
Full Name SHENELL THOMAS
Credential FNP
Practice Address 2320 E 93rd St
Chicago
IL 60617-3909
Mailing Address 12808 S Racine Ave
Calumet Park
IL 60827-6404
Practice Telephone 7739672000
Mailing Telephone 7083880629
Enumeration Date 2016-01-16
Last Update Date 2016-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209013745 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHENELL THOMAS

NPI Name Taxonomy Address Enumeration
1457899015 Shenell Thomas Registered Nurse 2369 2nd Ave, New York, NY 10035-3108 2017-02-03

Office Location

Street Address 2320 E 93RD ST
City CHICAGO
State IL
Zip Code 60617-3909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477545937 Ken R Richards Specialist 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 2005-08-19
1972151512 Lauren Jennifer Wishne Nurse Practitioner 2320 E 93rd St, Chicago, IL 60617-3909 2019-08-27
1932755105 Erin Hill Physician Assistant 2320 E 93rd St, Chicago, IL 60617-3909 2019-08-14
1154980001 Nathan Duane Warner Physician Assistant 2320 E 93rd St, Chicago, IL 60617-3909 2019-06-12
1740749779 Alec Saadi Colson Physician Assistant 2320 E 93rd St, Chicago, IL 60617-3909 2019-03-19
1710452065 Sherryl Felice Smith-colbert Nurse Practitioner 2320 E 93rd St, Chicago, IL 60617-3909 2018-10-12
1497220743 Kenisha Daniels Nurse Practitioner 2320 E 93rd St, Chicago, IL 60617-3909 2018-10-12
1396229019 Amy Elizabeth Spreitzer Registered Nurse 2320 E 93rd St, Chicago, IL 60617-3909 2018-09-18
1770072340 Shawndra L Ferrell Nurse Practitioner 2320 E 93rd St, Chicago, IL 60617-3909 2018-05-08
1396258513 Rosie L. Bernard Registered Nurse 2320 E 93rd St, Chicago, IL 60617-3909 2017-11-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102921 Manuel Lule Physical Therapy Assistant 9535 S Jeffery Boulevard, Chicago, IL 60617 2020-07-24
1083253546 Vanaja Thotten Internal Medicine 8012 S.crandon Ave, Chicago, IL 60617 2020-01-02
1427527365 Stony Island Dental PC Dentist 1600 E 93rd Street, Chicago, IL 60617 2018-11-21
1871060301 Tamika Nicole Whitehead Social Worker 2822 East 83rd Street, Chicago, IL 60617 2018-11-02
1528543774 Felicia Nwankwo Nurse Practitioner 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 2018-10-03
1972099307 David Phan Optometrist 1753 E 95th St Ste B-100, Chicago, IL 60617 2018-07-09
1831607340 Pamela Evette Ewing Counselor 9145 S. Merrill Ave, Chicago, IL 60617 2018-01-18
1366976631 Ali Mostafa Serhal Radiology 240 E. Huron St, Suite 1-203, Chicago, IL 60617 2017-04-13
1447784921 1915-25 95th St., LLC Clinic/Center 1915 E 95th St, Chicago, IL 60617 2017-04-12
1881140408 Yeferson Laverde Social Worker 3062 East 31st, Chicago, IL 60617 2016-09-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151272 Yolanda K Bradford Nurse Practitioner 2700 S California Ave, Chicago, IL 60608-5108 2020-10-14
1073125431 Faith M Langtiw Nurse Practitioner 2704 W Catalpa Ave, Chicago, IL 60625-3216 2020-08-18
1871114025 Quickcare, Pllc Nurse Practitioner 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 2020-04-29
1376170894 Julia Jekli Nurse Practitioner 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 2020-03-25
1821623281 Rina Delapena Nurse Practitioner 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 2020-03-06
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1962032813 Sonia Ivelis Fernandez Nurse Practitioner 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 2020-01-20
1164060257 Julie Ann Daniels Nurse Practitioner 5808 W Eddy St, Chicago, IL 60634-4351 2019-12-19
1720625593 Bogdana Gryniv Nurse Practitioner 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 2019-11-29
1023669835 Carlette Bailey Nurse Practitioner 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 2019-09-23
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Competitor

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City CHICAGO
Zip Code 60617

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Dataset Information

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.

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