SHANNON WEAVER (NPI# 1457903791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457903791 |
| Entity Type | Individual |
| Full Name | SHANNON WEAVER |
| Practice Address |
7111 S Virginia St Reno NV 89511-1115 |
| Mailing Address |
924 Solarium Dr Reno NV 89511-7309 |
| Practice Telephone | 7758515700 |
| Mailing Telephone | 2313136336 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740767359 | Shannon Weaver | Midwife | 2671 Hwy 70, Manasquan, NJ 08736 | 2018-07-26 |
| 1871102103 | Shannon Marie Weaver | Nurse Practitioner | 1 Tiger Dr, Marshall, TX 75670-1412 | 2020-07-22 |
| 1427338581 | Shannon Heather Weaver | Counselor | 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 | 2011-08-22 |
| Street Address |
7111 S VIRGINIA ST |
| City | RENO |
| State | NV |
| Zip Code | 89511-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690350 | Reno Family Physicians Jennifer Hornback Md, Etal,ltd | Family Medicine | 7111 S Virginia St, Reno, NV 89511 | 2006-06-21 |
| 1790260578 | Leslie Stockholm | Nurse Practitioner | 7111 S Virginia St, Reno, NV 89511-1115 | 2018-09-27 |
| 1265620801 | Erica Rae Simpson | Family Medicine | 7111 S Virginia St, Suite A7, Reno, NV 89511-1115 | 2007-10-09 |
| 1487740460 | Timothy D Coughlin | Family Medicine | 7111 S Virginia St, Reno, NV 89511-1115 | 2006-10-05 |
| 1962598979 | John E Horgan | Family Medicine | 7111 S Virginia St, `, Reno, NV 89511-1115 | 2006-10-05 |
| 1952497950 | Jennifer K. Hornback | Family Medicine | 7111 S Virginia St, Reno, NV 89511-1115 | 2006-10-05 |
| 1770679706 | James F Schaupp | Family Medicine | 7111 S Virginia St, Reno, NV 89511-1115 | 2006-10-05 |
| 1376655134 | Bradley S Corbin | Chiropractor | 7111 S Virginia St, A 14, Reno, NV 89511-1115 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1487216719 | Abigail Freeman | Physician Assistant | 10745 Double R Blvd # 13, Reno, NV 89521-8979 | 2019-07-08 |
| 1902465321 | Michael Edward Callahan | Physician Assistant | 10509 Professional Cir Ste 101, Reno, NV 89521-4883 | 2019-06-10 |
| 1821656174 | Samantha Audrey Mcdougal | Physician Assistant | 450 Haleb Ct, Reno, NV 89521-8345 | 2019-06-02 |
| 1588039085 | Stat Wound Care Services LLC | Physician Assistant | 4790 Caughlin Pkwy # 379, Reno, NV 89519-0907 | 2015-12-09 |
| 1174998702 | Adeo Wound Services LLC | Physician Assistant | 4790 Caughlin Pkwy # 380, Reno, NV 89519-0907 | 2015-12-08 |
| 1649640814 | Aleah Kristin Hartung | Physician Assistant | 960 Caughlin Xing, #100, Reno, NV 89519-0611 | 2015-09-30 |
| 1235422304 | Ashley L Thompson | Physician Assistant | 1075 N Hills Blvd Ste 180, Reno, NV 89506-6799 | 2011-05-24 |
| Find all providers in RENO | ||||
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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.