MRS. SHANNON LIEDQUIST TIEMAN (NPI# 1326436254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326436254 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON LIEDQUIST TIEMAN |
| Credential | CRNP |
| Practice Address |
3708 Moutain Road Pasadena MD 21122-2025 |
| Mailing Address |
3708 Mountain Rd Pasadena MD 21122-2025 |
| Practice Telephone | 4105538273 |
| Practice Fax Number | 4102554370 |
| Mailing Telephone | 4105538273 |
| Mailing Fax Number | 4102554370 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R214716 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3708 MOUTAIN ROAD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457823338 | Balem Hope Choi | Nurse Practitioner | 168 S Sierra Madre Blvd # 117, Pasadena, CA 91107-4150 | 2018-12-18 |
| 1063998284 | Renata Nogueira Costa | Nurse Practitioner | 1567 Locust St, Pasadena, CA 91106-1518 | 2018-07-11 |
| 1356837496 | Jay Kim | Nurse Practitioner | 87 N Wilson Ave Apt 1, Pasadena, CA 91106-2318 | 2018-07-02 |
| 1013334218 | Danielle Cheplowitz | Nurse Practitioner | 24 Magothy Beach Rd, Pasadena, MD 21122-4414 | 2014-03-25 |
| 1558672931 | Lizbeth Santana-blaise | Nurse Practitioner | 5050 Crenshaw, #200, Pasadena, TX 77505-3139 | 2010-06-30 |
| 1043350085 | Gina Joanne Digiovanni | Nurse Practitioner | 351 S. Hudson, Suite Number 130, Pasadena, CA 91109 | 2007-02-07 |
| 1497719561 | Melissa Fisher | Nurse Practitioner | 8015 Apple Valley Dr, Pasadena, MD 21122-4174 | 2006-04-14 |
| 1639179104 | Vanessa Cynthia Thomas | Nurse Practitioner | 8028 Ritchie Hwy, Ste 210, Pasadena, MD 21122-1075 | 2005-07-27 |
| 1194369843 | Ye Rae Ahn | Nurse Practitioner | 354 Mountain Rd Ste G, Pasadena, MD 21122-1158 | 2019-11-05 |
| 1790335297 | Heather Marie Watson | Nurse Practitioner | 90 Ritchie Hwy, Pasadena, MD 21122-4303 | 2019-09-17 |
| Find all providers in PASADENA | ||||
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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.