MICHELLE SHANNON (NPI# 1558909176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558909176 |
| Entity Type | Individual |
| Full Name | MICHELLE SHANNON |
| Credential | CRNP |
| Practice Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
| Mailing Address |
500 Mansfield Ct Severna Park MD 21146-1724 |
| Practice Telephone | 4107874565 |
| Mailing Telephone | 4438676894 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
R169142 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336616739 | Michelle Shannon | Counselor | 5601 Democracy Dr Ste 135, Plano, TX 75024-3672 | 2018-10-24 |
| 1194234369 | Michelle Shannon | Massage Therapist | 8695 Sw Jack Burns Blvd, Wilsonville, OR 97070-5797 | 2017-09-20 |
| 1104286244 | Michelle Shannon | Audiologist | 915 Olentangy River Rd Fl 4, Columbus, OH 43212-3153 | 2016-03-02 |
| 1750797577 | Michelle Shannon | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1104124726 | Michelle Shannon | Occupational Therapist | 9220 Western Ave, Omaha, NE 68114-2297 | 2011-03-06 |
| 1699007468 | Michelle D Shannon | Social Worker | 601 W Michigan St, Orlando, FL 32805-6203 | 2010-02-04 |
| 1316278427 | Michelle Shannon | Counselor | 104 4th Ave Sw, Room 238, Albany, OR 97321-2804 | 2010-01-29 |
| Street Address |
301 HOSPITAL DR |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627507 | Richard Alan Kelton | Preventive Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-05-31 |
| 1871194662 | Rachel Ann Sands | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-06 |
| 1912507500 | Ca'seem Tyler | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-01 |
| 1043818651 | Michael Booth | Registered Nurse | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-15 |
| 1912504598 | Rachel Janine Weitman | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-06 |
| 1689288359 | Candace Katelynn Fazenbaker | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-09-01 |
| 1699385542 | Amanda Theresa Bailey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-08-05 |
| 1639797046 | Gloria Owusu-seshie | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-07-13 |
| 1447876693 | Ming Li | Nurse Anesthetist, Certified Registered | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| 1033735279 | Elodie Tendoh | Student in an Organized Health Care Education/Training Program | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343236 | Melissa Donelson | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820301 | Nicole Troiani | Nurse Practitioner | 721 S Rose St, Baltimore, MD 21224-3738 | 2020-08-03 |
| 1750861910 | Honorine Mbaoua | Nurse Practitioner | Walter Reed Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20814 | 2018-08-17 |
| 1285138651 | Kimberly Bradshaw Mcnulty | Nurse Practitioner | 910 Gladway Rd, Middle River, MD 21220-1900 | 2018-03-21 |
| 1538526074 | Titilola Iyun | Nurse Practitioner | 5900 Millrace Ct, Apt A204, Columbia, MD 21045-5288 | 2016-01-27 |
| 1629340906 | Josephine Moore | Nurse Practitioner | 20816 Clear Morning Ct, Germantown, MD 20874-3942 | 2012-02-02 |
| 1386967545 | Rita Abu-jaber | Nurse Practitioner | Johns Hopkins Outpatient Ctr, 601 N. Caroline St. Rm 5240, Baltimore, MD 21287-0001 | 2010-03-02 |
| 1417589748 | Meredith Peiffer | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-02-05 |
| 1972089589 | Jamie Danielle Bowman | Nurse Practitioner | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2018-07-17 |
| 1912495938 | Laura Anne Trumpower | Nurse Practitioner | 74 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2018-04-25 |
| 1710400999 | Scott Alan Cook | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5422 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on MICHELLE SHANNON.
| 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.