SHANNON VICTORIA DRAKE (NPI# 1578827341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578827341 |
Entity Type | Individual |
Full Name | SHANNON VICTORIA DRAKE |
Practice Address |
10 N Main St Cortland NY 13045 |
Mailing Address |
5776 Howell Rd Locke NY 13092 |
Practice Telephone | 6077530234 |
Mailing Telephone | 6074239304 |
Enumeration Date | 2012-06-27 |
Last Update Date | 2013-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401477 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184141194 | Shannon Drake | Massage Therapist | 6200 Pfeiffer Rd, Montgomery, OH 45242-5862 | 2017-08-29 |
1134649619 | Shannon Glynn Drake | Nurse Practitioner | 2425 West Loop S Ste 200, Houston, TX 77027-4208 | 2017-06-26 |
1770732091 | Shannon Naura Drake | Counselor | 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 | 2008-09-10 |
Street Address |
10 N MAIN ST |
City | CORTLAND |
State | NY |
Zip Code | 13045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669986816 | Alyssa Abbott | Counselor | 10 N Main St, Cortland, NY 13045 | 2017-11-27 |
1942713193 | Joseph Paul Stein IIi | Counselor | 10 N Main St, Cortland, NY 13045 | 2017-11-09 |
1982113247 | Judith Sidman Huober | Student in an Organized Health Care Education/Training Program | 10 N Main St, Cortland, NY 13045-2130 | 2017-09-29 |
1043732126 | Victoria Altamura | Student in an Organized Health Care Education/Training Program | 10 N Main St, Cortland, NY 13045-2130 | 2017-07-11 |
1881120814 | Garrett Imbrenda | Counselor | 10 N Main St, Cortland, NY 13045-2130 | 2017-05-11 |
1194265694 | Shelley Musci | Student in an Organized Health Care Education/Training Program | 10 N Main St, Cortland, NY 13045-2130 | 2017-03-02 |
1992248363 | Jennifer Wapinski-mooradian | Student in an Organized Health Care Education/Training Program | 10 N Main St, Cortland, NY 13045-2130 | 2016-12-02 |
1225580418 | Melissa A Mccarthy | Counselor | 10 N Main St, Cortland, NY 13045-2130 | 2016-11-04 |
1316493281 | Andrea Capani | Counselor | 10 N Main St, Cortland, NY 13045-2130 | 2016-08-30 |
1023467016 | Kayla Curtis | Counselor | 10 N Main St, Cortland, NY 13045-2130 | 2016-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
Find all providers in zip 13045 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205303344 | Anne Elizabeth Hewitt | Nurse Practitioner | 16 Crawford St, Cortland, NY 13045-3200 | 2018-10-26 |
1689283111 | Jennifer Beach | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-07-30 |
1417432394 | Rini Simon Chennattu | Nurse Practitioner | 165 Main St, Cortland, NY 13045-3049 | 2018-09-26 |
1639663966 | Sarah Chambers | Nurse Practitioner | 7 Clayton Ave, Cortland, NY 13045-2501 | 2018-06-20 |
1154730232 | Melanie Novick | Nurse Practitioner | 10 N Main St, Cortland, NY 13045-2130 | 2014-08-04 |
1891769907 | Kathleen M Lacson | Nurse Practitioner | 134 Homer Ave, Cortland, NY 13045-1206 | 2006-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
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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.