MRS. SHANNON NICOLE MARTIN (NPI# 1417322926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417322926 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON NICOLE MARTIN |
| Credential | FNP-C |
| Practice Address |
14300 Gallant Fox Ln Suite 216 Bowie MD 20715-4003 |
| Mailing Address |
9108 Ruby Lockhart Blvd Unit 5 Glenarden MD 20706 |
| Practice Telephone | 3018054348 |
| Mailing Telephone | 2406711747 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R182264 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1114584927 | Shannon Martin | Social Worker | 5600 W Maple Rd Ste 302, West Bloomfield, MI 48322-3700 | 2019-05-28 |
| 1679047690 | Shannon Nicole Martin | Counselor | 7676 Hillmont St Ste 204, Houston, TX 77040-6469 | 2019-01-12 |
| 1952846537 | Shannon Martin | Licensed Vocational Nurse | 22346 Hawthorn Ave, Moreno Valley, CA 92553-6988 | 2017-01-05 |
| 1477913903 | Shannon E Martin | Nurse Practitioner | 1012 Route 36, Atlantic Highlands, NJ 07716-2469 | 2016-02-25 |
| 1538539531 | Shannon Martin | Psychologist | 1300 Allison St Nw, Washington, DC 20011-4441 | 2015-10-02 |
| 1982818597 | Shannon Martin | Internal Medicine | 830 W. Michigan Avenue, Marshall, MI 49068 | 2007-05-10 |
| 1831203967 | Shannon M Martin | Dentist | 12650 Warwick Blvd, Newport News, VA 23606-2590 | 2006-08-18 |
| 1376579292 | Shannon Rutherford Martin | Chiropractor | 427 S Boston Ave, Suite 515, Tulsa, OK 74103-4141 | 2006-06-23 |
| 1023677762 | Shannon Martin | Counselor | 328 Main St, Southbridge, MA 01550-3794 | 2019-06-06 |
| Street Address |
14300 GALLANT FOX LN SUITE 216 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154322659 | Theodore W Taber | Chiropractor | 14300 Gallant Fox Ln, Suite 201, Bowie, MD 20715-4003 | 2005-08-09 |
| 1598318545 | Bonita Mannings | Counselor | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2019-07-18 |
| 1740796945 | Tierra Shanel Thomas | Nurse Practitioner | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2017-12-26 |
| 1821532813 | Neuroscience Associates of Bowie | Clinical Neuropsychologist | 14300 Gallant Fox Ln, 107, Bowie, MD 20715-4003 | 2016-12-09 |
| 1285082644 | Trinity Dental Care, LLC | Dentist | 14300 Gallant Fox Ln, Suite 111, Bowie, MD 20715-4003 | 2016-05-26 |
| 1285094094 | Love Kids LLC | Pediatrics | 14300 Gallant Fox Ln, 203, Bowie, MD 20715-4003 | 2016-03-07 |
| 1134598394 | Phs Multispecialty Services | Surgery | 14300 Gallant Fox Ln, Suite 224, Bowie, MD 20715-4003 | 2015-09-17 |
| 1780078436 | Utopia Health Services Group Inc. | Counselor | 14300 Gallant Fox Ln, Suite 213, Bowie, MD 20715-4003 | 2015-03-19 |
| 1083018832 | Marsha Ross | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2014-10-22 |
| 1215366752 | Healing Children and Families, Inc. | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285771 | Anuoluwapo Otuyelu | Nurse Practitioner | 15509 Overchase Ln, Bowie, MD 20715-4618 | 2020-01-27 |
| 1134759905 | Lucy Omoboye Ogunsuyi | Nurse Practitioner | 4820 Briercrest Ct, Bowie, MD 20720-4840 | 2020-01-21 |
| 1437799582 | Ngozi B Amadi-obi | Nurse Practitioner | 2107 Belfry Ln, Bowie, MD 20721-2253 | 2020-01-07 |
| 1568007862 | Lilian Osei | Nurse Practitioner | 16705 Eldbridge Ln, Bowie, MD 20716-7327 | 2019-11-10 |
| 1255974648 | Ihuoma Rose Iwe | Nurse Practitioner | 7410 Quixote Ct, Bowie, MD 20720-4354 | 2019-10-18 |
| 1932757010 | Kimoy Campbell | Nurse Practitioner | 13316 Landsdales Hope Way, Bowie, MD 20720-6381 | 2019-08-31 |
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1104381904 | Nneoma M Oguguo | Nurse Practitioner | 2504 Somerton Ct, Bowie, MD 20721-2979 | 2019-02-05 |
| 1730650243 | Peace C Otigba | Nurse Practitioner | 2601 Wallingford Ct, Bowie, MD 20721-3183 | 2018-12-10 |
| 1962973651 | Toyin Olasehinde | Nurse Practitioner | 12615 Memory Ln, Bowie, MD 20715-1609 | 2018-12-06 |
| Find all providers in BOWIE | ||||
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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.