MRS. SHANDIS DENISE PHANEUF (NPI# 1477185791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477185791 |
| Entity Type | Individual |
| Full Name | MRS. SHANDIS DENISE PHANEUF |
| Other Name | MRS. SHANDIS DENISE PHANEUF |
| Credential | LPN |
| Practice Address |
6545 Gregg Dr Columbus GA 31909 |
| Mailing Address |
6545 Gregg Dr Columbus GA 31909-3273 |
| Practice Telephone | 3346634278 |
| Mailing Telephone | 3346634278 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LON066099 | GA | Nursing Service Providers |
| Street Address |
6545 GREGG DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1174971303 | Zoe Pediatric After Hours Care Inc | Clinic/Center | 3033 Williams Road, Columbus, GA 31909 | 2016-05-27 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1558976621 | Ruby Kay Miller | Licensed Practical Nurse | 1387 Georgesville Rd, Columbus, OH 43228-3611 | 2020-09-15 |
| 1295346633 | Velita Trinea Harris | Licensed Practical Nurse | 5461 York Ln N, Columbus, OH 43232-1564 | 2020-08-10 |
| 1205446168 | Muna Jama | Licensed Practical Nurse | 3422 Partridge Pl Apt 103, Columbus, OH 43231-4920 | 2020-08-05 |
| 1174132211 | Josephine Mustapha | Licensed Practical Nurse | 5446 Maple Canyon Ave, Columbus, OH 43229-3823 | 2020-07-24 |
| 1720603962 | Michael Nti | Licensed Practical Nurse | 7772 Pinney Hill Ct, Columbus, OH 43085-4876 | 2020-06-13 |
| 1396360913 | Alicia Brime | Licensed Practical Nurse | 5550 Sierra Ridge Dr, Columbus, OH 43231-6728 | 2020-06-09 |
| 1891319232 | Ciara Murphy | Licensed Practical Nurse | 345 E Deshler Ave, Columbus, OH 43206-2786 | 2020-06-02 |
| 1891317434 | Comfort Abigail Adoma Boakye | Licensed Practical Nurse | 4152 Rita Joanne Ln, Columbus, OH 43230-4060 | 2020-05-16 |
| 1487280228 | Tamika C Jones | Licensed Practical Nurse | 4972 Buttonbush St, Columbus, OH 43230-4166 | 2020-03-12 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on MRS. SHANDIS DENISE PHANEUF.
| 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.