CATHERINE MARY SHANNON (NPI# 1366507329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366507329 |
| Entity Type | Individual |
| Full Name | CATHERINE MARY SHANNON |
| Credential | FNP |
| Practice Address |
50 Route 25a Smithtown NY 11787-1348 |
| Mailing Address |
65 Island Pkwy Island Park NY 11558-1403 |
| Practice Telephone | 6318623541 |
| Practice Fax Number | 6318623717 |
| Mailing Telephone | 6318623541 |
| Mailing Fax Number | 6318623717 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F 332622 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114936218 | Catherine M Shannon | Radiology | 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | 2006-08-07 |
| Street Address |
50 ROUTE 25A |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085061 | Dmitry Konsky | Internal Medicine | 50 Route 25a, Smithtown, NY 11787 | 2005-07-01 |
| 1609232883 | Patrick Fritz Greger | Physician Assistant | 50 Route 25a, Surgical Pa Services, Smithtown, NY 11787-1348 | 2016-01-04 |
| 1447624655 | Kimberly Finnegan | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-11-25 |
| 1346626868 | Marilyn Verna | Registered Nurse | 50 Route 25a, Smithtown, NY 11787-1348 | 2015-08-06 |
| 1033540059 | Salma Sanzida Islam | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-12-02 |
| 1922449511 | Michael Simon Cucci | Pharmacist | 50 Route 25a, St Catherine of Siena Medical Center - Dept of Pharmacy, Smithtown, NY 11787-1348 | 2013-07-10 |
| 1902245632 | Kate Aileen Lindstadt | Nurse Practitioner | 50 Route 25a, Smithtown, NY 11787 | 2013-06-15 |
| 1154764819 | St. Catherine of Siena Medical Center | General Acute Care Hospital | 50 Route 25a, Smithtown, NY 11787-1348 | 2013-04-12 |
| 1841549912 | Philip Edwin Veith | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2012-09-05 |
| 1356612717 | Peter Soltani | Internal Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2012-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1144760810 | Colleen Danielle Cole | Nurse Practitioner | 329 E Main St Ste 9, Smithtown, NY 11787-2831 | 2017-03-01 |
| 1720538143 | Rose Emeline Cesaire | Nurse Practitioner | 373 Route 111 Ste 14, Smithtown, NY 11787-4759 | 2016-10-10 |
| 1255731501 | Keisha Antoinette Mahoney | Nurse Practitioner | 20 Steven Pl, Smithtown, NY 11787-5423 | 2014-08-23 |
| 1811262199 | Rita Romano | Nurse Practitioner | 1045 W Jericho Tpke, Smithtown, NY 11787-3205 | 2012-03-20 |
| 1912964990 | Mona G Rechner | Nurse Practitioner | 9 Brooksite Dr, Smithtown, NY 11787-3400 | 2006-04-26 |
| 1134752355 | Katelin Tambasco | Nurse Practitioner | 260 E Middle Country Rd, Smithtown, NY 11787-2982 | 2020-02-17 |
| 1215560776 | Smithtown Family Health Np PC | Nurse Practitioner | 300 E Main St, Smithtown, NY 11787-2900 | 2020-02-12 |
| 1215569041 | Smithtown Family Wellness Np PC | Nurse Practitioner | 300 E Main St Ste 2, Smithtown, NY 11787-2900 | 2020-02-10 |
| 1972088342 | Victoria Behan | Nurse Practitioner | 50 New York Ave # 25a, Smithtown, NY 11787-3448 | 2018-10-01 |
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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.