MS. MICHELLE BRENDALEE SHAND (NPI# 1366884470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366884470 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE BRENDALEE SHAND |
| Credential | CPNP |
| Practice Address |
3030 Mcever Rd Gainesville GA 30504-5579 |
| Practice Telephone | 6784500747 |
| Mailing Telephone | 6784500747 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
179009 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEOEGIA BOARD OF NURSING | 179009 | 01 |
| Street Address |
3030 MCEVER RD |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588818843 | Alma Marie Nakasone | Nurse Practitioner | 3030 Mcever Rd, Building 1 Suite 130, Gainesville, GA 30504-5579 | 2008-11-12 |
| 1518471499 | Paul Obinna Okoro | Nurse Practitioner | 3030 Mcever Rd, Gainesville, GA 30504-5579 | 2017-11-30 |
| 1043618259 | Annual Wellness Centers of America | Clinic/Center | 3030 Mcever Rd, Suite 300, Gainesville, GA 30504-5579 | 2014-12-22 |
| 1609217108 | Robyn Johnson Lance | Nurse Practitioner | 3030 Mcever Rd, Building 1, Suite 130, Gainesville, GA 30504-5579 | 2013-07-12 |
| 1174837298 | Green Willow Pediatrics | Pediatrics | 3030 Mcever Rd, Building 1, Suite 130, Gainesville, GA 30504-5579 | 2010-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1275771032 | Wahida M. Siddiqi | Nurse Practitioner | 816 Sw 64th Ter, Gainesville, FL 32607-3556 | 2009-01-30 |
| 1588818843 | Alma Marie Nakasone | Nurse Practitioner | 3030 Mcever Rd, Building 1 Suite 130, Gainesville, GA 30504-5579 | 2008-11-12 |
| 1023141959 | Stacia Marie Hays | Nurse Practitioner | University of Florida College of Nursing, Box 100197, Gainesville, FL 32610-0197 | 2007-03-13 |
| 1790810760 | Michelle Bowers | Nurse Practitioner | 2005 Sw 75th St, Gainesville, FL 32607-3425 | 2007-02-22 |
| 1194708065 | Pamela Pieper | Nurse Practitioner | 101 S Newell Drive, Gainesville, FL 32611 | 2005-11-23 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1922628445 | Kathryn Mary Mcfadden | Nurse Practitioner | 1699 Sw 16th Ave Bldg A, Gainesville, FL 32608-1158 | 2020-04-24 |
| 1699307314 | Lauren Gooch | Nurse Practitioner | 1485 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3802 | 2020-02-11 |
| 1902451610 | Kristina Panagiotopoulos | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-08-08 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
Please comment or provide details below to improve the information on MS. MICHELLE BRENDALEE SHAND.
| 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.