DR. SHIRLEY ANN CHENNAULT (NPI# 1447262217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447262217 |
| Entity Type | Individual |
| Full Name | DR. SHIRLEY ANN CHENNAULT |
| Credential | PHD |
| Practice Address |
720 Erik Lake Rd Brandon FL 33510-2741 |
| Practice Telephone | 8137897878 |
| Mailing Telephone | 8137897878 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2027 | NC | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY6821 | FL | Behavioral Health & Social Service Providers |
| Street Address |
720 ERIK LAKE RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326493107 | Brighter Day Health LLC | Psychologist | 202 Rosana Dr, Brandon, FL 33511-6314 | 2016-04-28 |
| 1659784775 | Isra Saleh-mohd, Psy.d. | Psychologist | 411 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2014-06-05 |
| 1811245277 | Amanda L Gugliano | Psychologist | 1490 W Government St, Suite 7, Brandon, MS 39042-3024 | 2012-08-16 |
| 1043503634 | Tangela Clark Culpepper | Psychologist | 1219 Millennium Pkwy, Suite 122, Brandon, FL 33511-3894 | 2011-05-16 |
| 1245567429 | Michelle-anne Diehl | Psychologist | 209 Lithia Pinecrest Rd, Brandon, FL 33511-5307 | 2009-11-10 |
| 1659518132 | Nekeshia Hammond | Psychologist | 710 Oakfield Dr Ste 153, Brandon, FL 33511-4954 | 2009-01-20 |
| 1003934910 | Steven Fei Wu | Psychologist | 310 Hughes St, Brandon, FL 33510-4412 | 2007-03-27 |
| 1285640466 | Thomas Michael Ingram | Psychologist | 1210 Millennium Pkwy, Suite 1017, Brandon, FL 33511-4896 | 2006-07-31 |
| 1275587693 | Valarie Ann Kager | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2006-05-20 |
| 1679524979 | Stephen H Sinclair | Psychologist | 1206 Millennium Pkwy, Brandon, FL 33511-3895 | 2006-05-12 |
| Find all providers in BRANDON | ||||
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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.