MRS. KATHLEEN MCDONALD SHANAHAN


Address: 3495 Bailey Ave, 111c, Buffalo, NY 14215-1129
Phone: 7168627822

MRS. KATHLEEN MCDONALD SHANAHAN (NPI# 1457370108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457370108
Entity Type Individual
Full Name MRS. KATHLEEN MCDONALD SHANAHAN
Credential NP
Practice Address 3495 Bailey Ave
111c
Buffalo
NY 14215-1129
Practice Telephone 7168627822
Practice Fax Number 7168628640
Mailing Telephone 7168627822
Mailing Fax Number 7168628640
Enumeration Date 2006-07-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health 		F303475 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN SHANAHAN

NPI Name Taxonomy Address Enumeration
1942578174 Kathleen M Shanahan Psychologist 18 Agassiz Cir, Buffalo, NY 14214-2601 2011-12-02
1629532221 Kathleen Gabriela Shanahan Marriage & Family Therapist 1940 W Orangewood Ave Ste 110, Orange, CA 92868-5042 2019-01-28

Office Location

Street Address 3495 BAILEY AVE
111C
City BUFFALO
State NY
Zip Code 14215-1129

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659377968 Deborah Lynn Farolino Internal Medicine 3495 Bailey Ave, Buffalo, NY 14215-1129 2005-06-22
1932727799 Kaitlyn Starr Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-07-08
1992322622 Michael Thomas Carter Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-06-29
1194348912 Shyamashree Sinha Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-05-27
1497378095 Peter Thomas Hibl Chiropractor 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-05-19
1811529076 Esther Lee Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-02-06
1982236139 Andrew Dobmeier Student in an Organized Health Care Education/Training Program 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-02-06
1174163299 Rachel Atkinson Social Worker 3495 Bailey Ave, Buffalo, NY 14215-1129 2020-01-07
1568008308 Kristen Tilson Dietitian, Registered 3495 Bailey Ave, Buffalo, NY 14215-1129 2019-11-26
1942842315 Richard Justin Moore Pharmacist 3495 Bailey Ave, Buffalo, NY 14215-1129 2019-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
1093336646 Sanjeevani Tomar Student in an Organized Health Care Education/Training Program University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 2020-05-05
1982225926 Rohan Pandey Student in an Organized Health Care Education/Training Program 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 2020-04-30
1235759911 Michael William O'donnell Student in an Organized Health Care Education/Training Program Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 2020-04-22
1780204883 Ishwor Sharma Student in an Organized Health Care Education/Training Program Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 2020-04-20
1174142632 Salman Masood Student in an Organized Health Care Education/Training Program 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 2020-04-14
1730718354 Charles Feng Hua Zhang Student in an Organized Health Care Education/Training Program Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 2020-04-06
1700415650 Joseph Charles L'huillier Student in an Organized Health Care Education/Training Program General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 2020-04-03
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215408372 Syntyia La'tierra Taylor Nurse Practitioner 515 Abbott Rd Ste 408, Buffalo, NY 14220-1700 2018-12-16
1346743598 Shelby Milan Belair Nurse Practitioner 3980 Sheridan Dr # D, Buffalo, NY 14226-1727 2018-03-14
1023529831 Mary Catherine Brown Nurse Practitioner 144 Kensington Ave, Buffalo, NY 14214-2726 2017-10-19
1487105714 Lisa Rudolph Nurse Practitioner 444 Norwood Ave, Apt 2, Buffalo, NY 14222-1560 2016-10-21
1295194652 Viktoriya Mccarthy Nurse Practitioner 737 Main St Ste 300, Buffalo, NY 14203-1335 2016-02-15
1952553463 Nerfis Elminowski Nurse Practitioner 2234 Seneca St, Buffalo, NY 14210-2438 2008-10-15
1275701187 Suzanne Marie Barrett Nurse Practitioner Millard Fillmore Gates Facility 3 Gates Circle, Cmicu, Buffalo, NY 14209 2008-02-13
1346308475 Cheryl Marie Zachewicz Nurse Practitioner 50 Lakefont Blvd, Buffalo, NY 14202-4327 2006-12-04
1508877267 Nicole Lee Kroll Nurse Practitioner 1686 Hwy 79 West, Buffalo, TX 75831 2006-08-10
1346223583 Marilyn Melnyk Nurse Practitioner 2001 Main St, Buffalo, NY 14208-1035 2005-11-22
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Competitor

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City BUFFALO
Zip Code 14215

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Dataset Information

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.

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