ANNA SHUSHARINA (NPI# 1558822767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558822767 |
| Entity Type | Individual |
| Full Name | ANNA SHUSHARINA |
| Credential | CRNP |
| Practice Address |
2042 County Line Rd Huntingdon Valley PA 19006-1739 |
| Mailing Address |
2500 Maryland Rd Ste 400 Willow Grove PA 19090-1225 |
| Practice Telephone | 2676092001 |
| Practice Fax Number | 2676092010 |
| Mailing Telephone | 2154814143 |
| Mailing Fax Number | 2154816790 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP020071 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP020071 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2042 COUNTY LINE RD |
| City | HUNTINGDON VALLEY |
| State | PA |
| Zip Code | 19006-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528527256 | Axiva Infusion Centers - Hv LLC | Clinic/Center | 2042 County Line Rd, Huntingdon Valley, PA 19006-1739 | 2019-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349209 | Nicole Poncia Slp LLC | Speech-Language Pathologist | 2011 Williamsburg Rd., Huntingdon Valley, PA 19006 | 2020-06-04 |
| 1497248298 | Heavenly's Home Care LLC | In Home Supportive Care | 67 Buck Rd Ste B53, Huntingdon Valley, PA 19006 | 2018-06-07 |
| 1740721919 | Staton Health LLC | In Home Supportive Care | 111 Buck Rd, Unit 300, Suite 9, Huntingdon Valley, PA 19006 | 2017-03-20 |
| 1407204407 | Jacqueline Russak-loftus | Social Worker | 727 Old Welsh Rd, Huntington Valley, PA 19006 | 2016-05-31 |
| 1720490162 | Pennsylvania Home Care Assistance Agency, Inc | Case Management | 2600 Philmont Ave Ste 405, Huntingdon Valley, PA 19006 | 2014-05-20 |
| 1104255603 | Javad Mohsenian | Psychiatry & Neurology | 320 Moreland Road, Huntingdon Valley, PA 19006 | 2013-11-05 |
| 1013270123 | Donna Marie Salvucci | Psychologist | 521 Moredon Road, Holy Redeemer Counseling Clinic, Huntingdon Valley, PA 19006 | 2012-06-22 |
| 1962712125 | Dentex Dental Mobile, Inc | Dentist | 3035 Franks Rd, Huntingdon Valley, PA 19006 | 2010-10-20 |
| 1316255938 | Superior Ems Ambulance LLC | Ambulance | 85 C Tomlinson Road, Huntingdon Valley, PA 19006 | 2010-09-16 |
| 1194958777 | Leader Ambulance, Inc | Ambulance | 27 Tomlinson Road, Suite 203, Huntingdon Valley, PA 19006 | 2009-08-28 |
| Find all providers in zip 19006 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGDON VALLEY |
| Zip Code | 19006 |
Please comment or provide details below to improve the information on ANNA SHUSHARINA.
| 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.