SHAUNA SANDERSON (NPI# 1518572528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518572528 |
| Entity Type | Individual |
| Full Name | SHAUNA SANDERSON |
| Credential | ACNP |
| Practice Address |
901 E 5th St Washington MO 63090-3127 |
| Mailing Address |
3601 W Broadway Apt 22304 Columbia MO 65203-7920 |
| Practice Telephone | 6362398000 |
| Mailing Telephone | 6056708950 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2019033889 | MO | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2020014482 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 E 5TH ST |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837735 | Thomas R Piontek | Registered Nurse | 901 E 5th St, Washington, MO 63090-3127 | 2005-11-14 |
| 1841835923 | Alissa Wooden | Dietitian, Registered | 901 E 5th St, Washington, MO 63090-3127 | 2019-11-12 |
| 1043783764 | Christopher Schloss | Pharmacist | 901 E 5th St, Washington, MO 63090-3127 | 2019-01-04 |
| 1588136162 | Richard L Lemons | Pharmacist | 901 E 5th St, Washington, MO 63090-3127 | 2018-12-20 |
| 1902378599 | Jessica Kathleen Brinkmeyer | Pharmacist | 901 E 5th St, Washington, MO 63090-3127 | 2018-12-20 |
| 1114407194 | Janice Hansen | Physical Therapy Assistant | 901 E 5th St, Washington, MO 63090-3127 | 2018-08-18 |
| 1205282639 | Lydia Luisa Archuleta | Internal Medicine | 901 E 5th St, Washington, MO 63090-3127 | 2016-05-04 |
| 1396173860 | Mercy Labs Washington, LLC | Clinical Medical Laboratory | 901 E 5th St, Washington, MO 63090-3127 | 2013-10-21 |
| 1194160127 | Colleen Marie Wingate | Internal Medicine | 901 E 5th St, Washington, MO 63090-3127 | 2013-05-03 |
| 1093055972 | Marilyn Kay Wade | Dietitian, Registered | 901 E 5th St, Washington, MO 63090-3127 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973947 | Michael Allen Parsley | Nurse Practitioner | 110 Irving St Nw # At, Washington, DC 20010-3017 | 2019-10-14 |
| 1659927606 | Susan Thornton Oyola | Nurse Practitioner | 110 Irving St Nw Unit 3ne, Washington, DC 20010-3017 | 2019-08-15 |
| 1770055006 | Melanie Dawn Sims | Nurse Practitioner | 110 Irving St Nw # 4b-42, Washington, DC 20010-3017 | 2018-12-27 |
| 1396285680 | Jessica Jean Thurn | Nurse Practitioner | 201 I St Ne, Apt. 408, Washington, DC 20002-4449 | 2017-03-06 |
| 1790150688 | Polly Rebecca Jackson | Nurse Practitioner | 4875 N 4 Mile Rd, Washington, MO 63090-3931 | 2015-12-03 |
| 1437418563 | Alyson Severino | Nurse Practitioner | 110 Irving St Nw # 424b, Washington, DC 20010-3017 | 2012-05-09 |
| 1033340799 | Floyd Joseph Johnson IIi | Nurse Practitioner | 2131 K St Nw Ste 201, Washington, DC 20037-1856 | 2009-07-29 |
| 1073753224 | Latoya Michon Taylor | Nurse Practitioner | 2041 Georgia Ave Nw Towers 2322, Washington, DC 20060 | 2009-03-01 |
| 1427197888 | Anna Lisa Licud | Nurse Practitioner | 110 Irving St., Nw, Whc Surgical Critical Care Service Suite 4b-42, Washington, DC 20010-2975 | 2007-02-05 |
| 1376638866 | Amanda Champion Bunch | Nurse Practitioner | 1203 Carolina Ave, Washington, NC 27889-3571 | 2006-10-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.