MRS. SHANNON KATHLEEN DOBSON (NPI# 1598905960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598905960 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON KATHLEEN DOBSON |
| Credential | CPNP |
| Practice Address |
2000 Professional Way Suite 200 Woodstock GA 30188-3879 |
| Practice Telephone | 7705170250 |
| Practice Fax Number | 7705170260 |
| Mailing Telephone | 7705170250 |
| Mailing Fax Number | 7705170260 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2011-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN112293 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376064238 | Shannon Dobson | Behavior Technician | 5112 Nw Taylor Rd, Bremerton, WA 98312-8837 | 2017-06-30 |
| 1740318971 | Shannon Dobson | Pharmacist | 50 N Medical Dr, Room A050, Salt Lake City, UT 84132-0001 | 2007-03-01 |
| Street Address |
2000 PROFESSIONAL WAY SUITE 200 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447218334 | Adriana Rzeznik | Pediatrics | 2000 Professional Way, Bldg 200 Ste B, Woodstock, GA 30188 | 2006-05-02 |
| 1427260355 | Frini Shah | Pediatrics | 2000 Professional Way, Bldg 200, Woodstock, GA 30188-3879 | 2007-05-04 |
| 1841402781 | Woodstock Pediatric Medicine | Pediatrics | 2000 Professional Way, Bldg 200, Woodstock, GA 30188-4093 | 2007-05-04 |
| 1154362366 | Ferdinand Domenic Yates Jr. | Pediatrics | 2000 Professional Way, #200, Woodstock, GA 30188-4093 | 2006-06-09 |
| 1104865955 | Jordana A Heaven | Pediatrics | 2000 Professional Way, Ste 200, Woodstock, GA 30188 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174024780 | Milan Johnson Wade | Nurse Practitioner | 2000 Professional Way # 200, Woodstock, GA 30188-4093 | 2018-02-28 |
| 1255976627 | Adriana M Bell | Nurse Practitioner | 105 Mirramont Lake Dr, Woodstock, GA 30189-8214 | 2019-11-08 |
| 1538619556 | Katie Hoang Nguyen | Nurse Practitioner | 105 Mirramont Lake Dr, Woodstock, GA 30189-8214 | 2016-10-13 |
| 1629461199 | Jennifer Martin | Nurse Practitioner | 250 Parkbrooke Pl, Ste 200, Woodstock, GA 30189-6400 | 2015-03-09 |
| 1285977355 | Alyssa Lauren Kesselman | Nurse Practitioner | 145 N Medical Pkwy, Pediatrics, Woodstock, GA 30189-7031 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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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.