SHANNON ROSE WEBER (NPI# 1659766244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659766244 |
| Entity Type | Individual |
| Full Name | SHANNON ROSE WEBER |
| Credential | ARNP |
| Practice Address |
18550 Us Highway 441 Ste A Mount Dora FL 32757-6751 |
| Mailing Address |
18550 Us Highway 441 Mount Dora FL 32757-6751 |
| Practice Telephone | 3527353755 |
| Practice Fax Number | 3527353151 |
| Mailing Telephone | 3527353755 |
| Mailing Fax Number | 3527353151 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2018-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP3360292 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP3360292 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021028900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851423693 | Shannon Weber | Speech-Language Pathologist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-09 |
| Street Address |
18550 US HIGHWAY 441 STE A |
| City | MOUNT DORA |
| State | FL |
| Zip Code | 32757-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699318865 | Carl Thomas Rountree II | Registered Nurse | 18550 Us Highway 441 Ste A, Mount Dora, FL 32757-6751 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324824 | Cypress Grove Counseling Center LLC | Counselor | 6551 N Orange Blossom Trail Suite 209 #1005, Mount Dora, FL 32757 | 2020-07-28 |
| 1790327286 | Alisha Dawn Bateman | Nurse Practitioner | 7678 Lake Ola Dr., Mount Dora, FL 32757 | 2019-10-16 |
| 1306496153 | Carehere LLC | Family Medicine | Carehere Clinic- City of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 | 2019-09-13 |
| 1871008680 | Sonya Quiroz | Behavior Technician | 21038 Niles Ave, Mount Dora, FL 32757 | 2017-12-04 |
| 1043737661 | Erin N Booth | Behavior Technician | 411 N. Donnelly St., Suite 307, Mount Dora, FL 32757 | 2017-08-24 |
| 1053850073 | Sunshine Recovery Network, Inc | Community/Behavioral Health | 632 E 5th Ave, Mount Dora, FL 32757 | 2017-02-23 |
| 1336684661 | Catherine Lim Panlilio | Physical Therapist | 300 Brookfield Avenue, Mount Dora, FL 32757 | 2016-12-22 |
| 1659815306 | Mount Dora Modern Dentistry, Pa | Dentist | 17365 Us Hwy 441, Eustis, FL 32757 | 2016-12-15 |
| 1447603303 | Lake County Adult Activity Center Inc | Respite Care | 1934 N Donnelly St, Suite B, Mount Dora, FL 32757 | 2016-07-15 |
| 1871955724 | Sagir Patel | Dentist | 17365 Us Highway 441, Mount Dora, FL 32757 | 2016-03-22 |
| Find all providers in zip 32757 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT DORA |
| Zip Code | 32757 |
Please comment or provide details below to improve the information on SHANNON ROSE WEBER.
| 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.