SHAN BROWN (NPI# 1356543060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356543060 |
Entity Type | Individual |
Full Name | SHAN BROWN |
Credential | NURSE PRACTITIONER |
Practice Address |
2158 C.r. 1900 E. Urbana IL 61802 |
Practice Telephone | 2173480547 |
Practice Fax Number | 2173485321 |
Mailing Telephone | 2173480547 |
Mailing Fax Number | 2173485321 |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2158 C.R. 1900 E. |
City | URBANA |
State | IL |
Zip Code | 61802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
1558411645 | Deborah J Frownfelter | Licensed Practical Nurse | 1818 E. Windsor, Adult Medicine/geriatrics, Urbana, IL 61802 | 2007-01-11 |
Find all providers in zip 61802 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649877077 | Lee Danielle Watts | Nurse Practitioner | 2152 E State Route 29, Urbana, OH 43078-9779 | 2020-10-08 |
1003371691 | Emily Remington | Nurse Practitioner | 611 W Park St, Urbana, IL 61801-2529 | 2019-02-07 |
1568930931 | Nicole M Miethe | Nurse Practitioner | 611 W Park St, Urbana, IL 61801-2529 | 2018-11-05 |
1770856866 | Jamie J Nixon | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801-2500 | 2012-02-20 |
1427346188 | Michelle A Harris | Nurse Practitioner | 1818 E Windsor Rd, Ob/gyn, Urbana, IL 61802-9566 | 2011-07-15 |
1851417562 | Sarah K Trusner | Nurse Practitioner | 611 W. Park St., Ob/gyn, Urbana, IL 61801-2500 | 2007-03-22 |
1730247214 | Carrie Lynn Adkisson | Nurse Practitioner | 1109 S Lincoln Ave, Urbana, IL 61801-4703 | 2006-12-05 |
1427125020 | Sheila Elaine Maxwell | Nurse Practitioner | 1109 S Lincoln Ave, Urbana, IL 61801-4703 | 2006-11-29 |
1770650202 | Denise Marsha Watkins | Nurse Practitioner | 1109 S Lincoln Ave, Urbana, IL 61801-4703 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
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.