SHOSHANA SHINE


Address: 907 S Belgrade Rd, Silver Spring, MD 20902
Phone: 7189541248

SHOSHANA SHINE (NPI# 1609397884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609397884
Entity Type Individual
Full Name SHOSHANA SHINE
Credential FNP
Practice Address 907 S Belgrade Rd
Silver Spring
MD 20902
Mailing Address 907 S Belgrade Rd
Silver Spring
MD 20902-3252
Practice Telephone 7189541248
Mailing Telephone 7189541248
Enumeration Date 2017-06-28
Last Update Date 2017-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R224972 MD Nursing Service Providers
N 163W00000X Registered Nurse 675313-1 NY Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
F341377-1 NY Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R224972 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 907 S BELGRADE RD
City SILVER SPRING
State MD
Zip Code 20902

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NPI Name Taxonomy Address Enumeration
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1598259830 Nechama Malka Koretzky Speech-Language Pathologist 1205 North Belgrade Rd, Silver Spring, MD 20902 2018-06-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779432 Daniel A Mesfin Nurse Practitioner 14528 Fairdale Rd, Silver Spring, MD 20905-6526 2020-10-30
1265049324 Johanna Catherine Mckenna Nurse Practitioner 10750 Columbia Pike Ste 320, Silver Spring, MD 20901-4453 2020-09-23
1639793763 Sonya Zhe Chang Nurse Practitioner 10203 Brunett Ave, Silver Spring, MD 20901-2004 2020-06-04
1568095966 Kadiatu G Kamara Nurse Practitioner 13700 Beauwick Ct, Silver Spring, MD 20906-3005 2020-02-14
1598305294 Jemila Kemal Nurse Practitioner 4104 Elby St, Silver Spring, MD 20906-4438 2020-01-10
1831736933 Andrea Adenike Coker Nurse Practitioner 10230 New Hampshire Ave Ste 103, Silver Spring, MD 20903-1422 2019-12-08
1235770330 Joanna M King Nurse Practitioner 3455 Castle Way, Silver Spring, MD 20904-4767 2019-10-01
1528614245 Mary Warrah Tarawalie Nurse Practitioner 3607 Pear Tree Ct Apt 23, Silver Spring, MD 20906-5506 2019-08-18
1851857577 Beena Zachariah Nurse Practitioner 2739 Sweet Clover Ct, Silver Spring, MD 20904-1884 2019-02-19
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Competitor

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City SILVER SPRING
Zip Code 20902

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Dataset Information

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.

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