WHITNEY J. SHAFER (NPI# 1598173056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598173056 |
| Entity Type | Individual |
| Full Name | WHITNEY J. SHAFER |
| Credential | NP |
| Practice Address |
470 Bennett Dr Warren IN 46792 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2603753670 |
| Practice Fax Number | 2603753669 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71005021A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201254970 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 468044128 | 2604322297 | 2609697266 |
| Street Address |
470 BENNETT DR |
| City | WARREN |
| State | IN |
| Zip Code | 46792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952614224 | Michelle Lynn Layman | Speech-Language Pathologist | 123 N Wayne St, Warren, IN 46792 | 2010-07-15 |
| 1609082775 | Vernon Winfield Byer | Pharmacist | Warren Pharmacy, 222 North Wayne St, Warren, IN 46792 | 2007-05-15 |
| 1811911969 | Robert H Berghoff | Dentist | 470 Bennett Drive, Suite C, Warren, IN 46792 | 2006-07-26 |
| 1043413016 | Charis M Daniels | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245433325 | Marsha J Crickard | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245441633 | Millie Ann Ellis | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1275744666 | Cheryl A Campbell | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1942411335 | Patricia Lynn Breckenridge | Pharmacy Technician | 222 N Wayne St, Warren, IN 46792 | 2007-05-25 |
| 1639320104 | Angela Lamar | Physical Therapy Assistant | 716 E Jefferson St, Warren, IN 46792-0152 | 2008-10-02 |
| 1235219296 | Kevin James Deakyne | Dentist | 470 Bennett Dr., Suite A, Warren, IN 46792-0307 | 2006-10-16 |
| Find all providers in zip 46792 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514926 | Brittany Mazejko | Nurse Practitioner | 1745 Niles Cortland Rd Ne, Warren, OH 44484-6046 | 2019-08-20 |
| 1699276295 | Sabrina Vitale | Nurse Practitioner | 32318 Dover Ave, Warren, MI 48088-6903 | 2018-02-28 |
| 1417313727 | Mai Shoua Xiong | Nurse Practitioner | 11800 East 12 Mile Road, Warren, MI 48093 | 2016-01-04 |
| 1023485638 | Rowena Callo Teodoro | Nurse Practitioner | 27560 Hoover Rd., Warren, MI 48093 | 2015-08-31 |
| 1508130097 | Psych Solutions Inc. | Nurse Practitioner | 2189 Stillwagon Rd Se, Warren, OH 44484-3169 | 2012-02-29 |
| 1255531489 | Jill M Gorton | Nurse Practitioner | 2817 Market St, Warren, PA 16365-5205 | 2007-07-25 |
| 1902953763 | Julie M Towery | Nurse Practitioner | 824 Huntington Ave # In, Warren, IN 46792-9402 | 2007-01-04 |
| 1831290295 | Melissa D Shene | Nurse Practitioner | 418 Pennsylvania Ave E, Warren, PA 16365-2775 | 2006-09-26 |
| 1699771139 | Kamie Dee Repine | Nurse Practitioner | 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 | 2005-06-21 |
| 1710596788 | Ana Apostolina | Nurse Practitioner | 27560 Hoover Rd, Warren, MI 48093-4505 | 2020-07-27 |
| Find all providers in WARREN | ||||
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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.