SHANNON MARIE HOLYOKE (NPI# 1598094583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598094583 |
Entity Type | Individual |
Full Name | SHANNON MARIE HOLYOKE |
Credential | RN, BSN |
Practice Address |
9425 N Geneva Ave Portland OR 97203-2648 |
Practice Telephone | 5035045040 |
Mailing Telephone | 5035045040 |
Enumeration Date | 2009-12-22 |
Last Update Date | 2009-12-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
200640590RN | OR | Nursing Service Providers |
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
200646590RN | OR | Nursing Service Providers |
Street Address |
9425 N GENEVA AVE |
City | PORTLAND |
State | OR |
Zip Code | 97203-2648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
Find all providers in zip 97203 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295288991 | Harvey Mccluskey | Registered Nurse | 13521 Ne Halsey St, Portland, OR 97230-3243 | 2016-07-28 |
1356783328 | Mercedes Siento Gonzalez | Registered Nurse | 2027 Ne Multnomah St, Portland, OR 97232-2188 | 2013-07-19 |
1225326002 | Charity Grace Pape | Registered Nurse | 1625 Se Bidwell St, Unit 7, Portland, OR 97202-6156 | 2011-07-14 |
1659666352 | Serena Lee Watson | Registered Nurse | 11824 Ne Stanton St, Portland, OR 97220-1763 | 2011-06-10 |
1750842514 | Peter Schubert Larkin | Registered Nurse | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2019-03-26 |
1396210100 | Anne Wallis | Registered Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2018-10-08 |
1336525047 | Anna Shkurinsky | Registered Nurse | 14516 E Burnside St, Portland, OR 97233-2142 | 2015-08-04 |
1023497328 | Jeremy Talmadge Middleton | Registered Nurse | 420 Ne Mason St, Clinic, Portland, OR 97211-3479 | 2015-05-20 |
1619221389 | Marc R. Mcfarland | Registered Nurse | 4540 Ne Glisan St, Portland, OR 97213-2333 | 2012-11-02 |
1356691828 | Miriam Gottlieb | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2012-09-12 |
Find all providers in PORTLAND |
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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.