SHANNON L MCCRORY (NPI# 1497928410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497928410 |
| Entity Type | Individual |
| Full Name | SHANNON L MCCRORY |
| Credential | NP |
| Practice Address |
77 Elizabeth Dr Lockport NY 14094-5226 |
| Practice Telephone | 7164332674 |
| Practice Fax Number | 7164332677 |
| Mailing Telephone | 7164332674 |
| Mailing Fax Number | 7164332677 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
381841 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS BLUE SHIELD | 0005301420001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699179531 | Shannon Marie Mccrory | Nurse Anesthetist, Certified Registered | Pmb 216, 1270 N Marine Corps Dr Ste 101, Tamuning, GUAM 96913 | 2014-10-21 |
| Street Address |
77 ELIZABETH DR |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669492096 | Christopher Beney | Internal Medicine | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2006-07-20 |
| 1922617414 | Lauren Renee Sauvageau | Physician Assistant | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2020-07-30 |
| 1265998165 | Nutrition Insights Pllc | Dietitian, Registered | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2019-02-15 |
| 1053810879 | Lindsey Carol Thering | Physician Assistant | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2018-02-07 |
| 1962863464 | Amberlee Peace | Physician Assistant | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2016-03-10 |
| 1053587519 | Christopher E. Beney, Md, PC | Physician Assistant | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2008-05-05 |
| 1043408362 | Amy Lynn Beney | Dietitian, Registered | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2007-10-11 |
| 1871626796 | Chad A Shepherd | Nurse Practitioner | 77 Elizabeth Dr, Lockport, NY 14094-5226 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548416803 | Cherie Bazaar Trabert | Clinical Nurse Specialist | 2 Townline Circle, Rochester, NY 14623 | 2008-08-18 |
| 1497932313 | Kara W Eaton | Clinical Nurse Specialist | 102 Westfield Dr, Ithaca, NY 14850-3111 | 2008-01-22 |
| 1831542505 | Kathryn O'leary | Clinical Nurse Specialist | 150 55th Street, Nyu Lutheran, Brooklyn, NY 11220 | 2016-07-19 |
| 1235560343 | Eun Hye Kim | Clinical Nurse Specialist | 16 Sumner Pl, Brooklyn, NY 11206-4110 | 2013-11-29 |
| 1538429568 | Marcia Engelhardt | Clinical Nurse Specialist | 10 Downing St, 5w, New York, NY 10014-4734 | 2012-05-23 |
| 1194042416 | Dawn Marie Adams | Clinical Nurse Specialist | 818 Ellicott St, Buffalo, NY 14203-1021 | 2010-04-26 |
| 1215170212 | Helen Tipawan | Clinical Nurse Specialist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2009-04-07 |
| 1679753990 | Megan K Crosson | Clinical Nurse Specialist | 4039 Route 219, Suite 103, Salamanca, NY 14779-9625 | 2007-11-05 |
| 1831385236 | Cheryl A. Cook | Clinical Nurse Specialist | 4811 Buckley Rd, Liverpool, NY 13088-3629 | 2007-09-19 |
| 1528253101 | Heather Calendrillo | Clinical Nurse Specialist | 655 Deer Park Ave, Babylon, NY 11702-1314 | 2007-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON L MCCRORY.
| 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.