JACQUELYN SHAUGHNESSY (NPI# 1629472402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629472402 |
| Entity Type | Individual |
| Full Name | JACQUELYN SHAUGHNESSY |
| Credential | RPT |
| Practice Address |
1224 Cranbrook Dr Hixson TN 37343-4804 |
| Practice Telephone | 4233097202 |
| Practice Fax Number | 4233097202 |
| Mailing Telephone | 4233097202 |
| Mailing Fax Number | 4233097202 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5156 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1224 CRANBROOK DR |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986319 | Daniel K Shaughnessy | Occupational Therapist | 1224 Cranbrook Dr, Hixson, TN 37343-4804 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506262 | Therapy On The Move | Physical Therapist | 5371 Highway 297, Pioneer, TN 37847-4282 | 2019-09-04 |
| 1649838517 | Lindsay Carter Jones | Physical Therapist | 901 Teasel Dr, Kingsport, TN 37660-3261 | 2019-06-05 |
| 1932540648 | Elena Maria Miller | Physical Therapist | 581 Zachary Ln, Jackson, TN 38305-5679 | 2013-07-10 |
| 1619315942 | Kelsey Martha Humphrey | Physical Therapist | 4384 Conger Rd, Louisville, TN 37777-5118 | 2013-06-09 |
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1497017578 | Leo Tagbar Sumatra | Physical Therapist | 13135 Lebanon Rd, Mount Juliet, TN 37122-2873 | 2012-06-13 |
| 1952682700 | I Karen Howard | Physical Therapist | 808 Circle Hill Dr, Selmer, TN 38375-2292 | 2011-09-07 |
| 1942507850 | Megan Mayeux Smith | Physical Therapist | 2317 Us Highway 411 S, Maryville, TN 37801-8634 | 2011-02-13 |
| 1548454721 | Sean Frederick Preiss | Physical Therapist | 721 Mcguffeys Dr, Knoxville, TN 37934-8204 | 2007-08-30 |
| 1073125662 | Rehab At Your Space, LLC | Physical Therapist | 6320 N Quail Hollow Rd, Memphis, TN 38120-1420 | 2020-08-17 |
| 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.