MRS. SHANNON LORRAINE MILAM (NPI# 1447633763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447633763 |
Entity Type | Individual |
Full Name | MRS. SHANNON LORRAINE MILAM |
Other Name | SHANNON LORRAINE COLEMAN |
Credential | ARNP-BC |
Practice Address |
1002 S Old Dixie Hwy Ste 201 Jupiter FL 33458-7202 |
Mailing Address |
10518 151st Ln N Jupiter FL 33478-6874 |
Practice Telephone | 5617442200 |
Mailing Telephone | 5617626651 |
Enumeration Date | 2015-07-06 |
Last Update Date | 2016-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ARNP9278663 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PTAN | IM409Z | 01 |
Street Address |
1002 S OLD DIXIE HWY STE 201 |
City | JUPITER |
State | FL |
Zip Code | 33458-7202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265606610 | Cynthia Augereau Lambert | Nurse Practitioner | 1002 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7202 | 2008-04-16 |
1962778233 | Nikki Clark | Nurse Practitioner | 1002 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7202 | 2012-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
Find all providers in zip 33458 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174749147 | Barry M. Miskin, Md Pa | General Practice | 1002 Old Dixie Highway, Suite 304, Jupiter, FL 33458 | 2007-04-18 |
1609293646 | David Francis Capaldi | General Practice | 401 Maplewood Dr, Jupiter, FL 33458-5849 | 2014-03-27 |
1093158230 | Drug Free Pain Center LLC | General Practice | 224 Chimney Corner Ln, 1026, Jupiter, FL 33458-4800 | 2013-04-08 |
1518183185 | Susan B. Poncy, Md Pa | General Practice | 601 University Blvd, Suite 201, Jupiter, FL 33458 | 2007-04-18 |
1609092048 | Michael Z Kalter M D M S P A | General Practice | 1004 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7200 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. SHANNON LORRAINE MILAM.
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.