SHANNON NOEL LUKEZ (NPI# 1497986301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497986301 |
Entity Type | Individual |
Full Name | SHANNON NOEL LUKEZ |
Credential | ARNP-BC |
Practice Address |
2195 Cheat Rd Suite 2 Morgantown WV 26508-0022 |
Practice Telephone | 3045940456 |
Practice Fax Number | 3045943249 |
Mailing Telephone | 3045940456 |
Mailing Fax Number | 3045943249 |
Enumeration Date | 2009-07-28 |
Last Update Date | 2015-03-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN85183-ANP-BC | WV | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA10804NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2195 CHEAT RD SUITE 2 |
City | MORGANTOWN |
State | WV |
Zip Code | 26508-0022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679589196 | William R Post | Orthopaedic Surgery | 2195 Cheat Rd, Ste. 2, Morgantown, WV 26508-4516 | 2006-08-01 |
1043676711 | Calvert Rehabilitation Group, Inc. | Clinic/Center | 2195 Cheat Rd, Morgantown, WV 26508-0022 | 2016-01-11 |
1174712269 | Christine Shawn Wade | Physician Assistant | 2195 Cheat Rd, Suite 2, Morgantown, WV 26508-4451 | 2007-10-15 |
1154480887 | Allan Evangelista | Podiatrist | 2195 Cheat Rd, Ste 2, Morgantown, WV 26508-0022 | 2006-12-08 |
1093802993 | Erin Michelle Lawrence | Physical Therapist | 2195 Cheat Rd, Suite 1, Morgantown, WV 26508-4451 | 2006-10-10 |
1427092287 | Lakeside Physical Therapy & Fitness Center, LLC | Physical Therapist | 2195 Cheat Rd, Suite 1, Morgantown, WV 26508-4451 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
Find all providers in zip 26508 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992873251 | Georgia L Narsavage | Nurse Practitioner | Health Science Center South 6700, Wvu Son Nursing Faculty Practice, Morgantown, WV 26506-9600 | 2006-12-02 |
1750377057 | Michelle Marie Hunter | Nurse Practitioner | 349 W Washington St, Morgantown, IN 46160-9541 | 2005-09-22 |
1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
1245861442 | Janet Arlene Johnson | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-01-28 |
1467015313 | Brady Bielewicz | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-04-17 |
1558765883 | John Brandon Arruda | Nurse Practitioner | One Medical Center Drive, Morgantown, WV 26506 | 2014-10-15 |
1427377423 | Karie Rabagia | Nurse Practitioner | 30 Mon Health Drive, Morgantown, WV 26505-2853 | 2010-05-31 |
1053649723 | Carissa Anne Moser | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2009-11-18 |
1639286255 | Sandra L Cotton | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
1881080521 | Rochelle Popovich | Nurse Practitioner | 600 18th St Ste 311, Parkersburg, WV 26101-3235 | 2015-04-09 |
1457769523 | Morgan Leigh Adams | Nurse Practitioner | 36 White Rock Dr, Hurricane, WV 25526-9621 | 2014-08-01 |
1821271008 | Rose M Clark | Nurse Practitioner | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2007-12-11 |
1013009570 | Eleanor K Berg | Nurse Practitioner | Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 | 2006-09-29 |
1285645374 | James R Ellis | Nurse Practitioner | 425 Stanaford Rd, Beckley, WV 25801-3145 | 2006-08-11 |
1326036419 | Christine La Porte Palank | Nurse Practitioner | Shepherd Univ Student Health Services, E King St, Shepherdstown, WV 25443-1032 | 2005-10-12 |
1326043365 | Michael Shawn Stockman | Nurse Practitioner | 440 Koonce Rd, Harpers Ferry, WV 25425-3126 | 2005-06-16 |
1700486008 | Randi Dawnielle Davis | Nurse Practitioner | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2020-10-27 |
1306470216 | Amy Elizabeth Patrick | Nurse Practitioner | 20 Medical Park, Suite 102, Wheeling, WV 26003 | 2020-02-29 |
Find all providers with the same taxonomy |
City | MORGANTOWN |
Zip Code | 26508 |
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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.