SHANNON E DONNELLY (NPI# 1679064695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679064695 |
| Entity Type | Individual |
| Full Name | SHANNON E DONNELLY |
| Practice Address |
380 Butterfly Gardens Dr Columbus OH 43215 |
| Mailing Address |
700 Childrens Dr Columbus OH 43205-2664 |
| Practice Telephone | 6143556380 |
| Practice Fax Number | 6143556385 |
| Mailing Telephone | 6147226200 |
| Mailing Fax Number | 6147224565 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.023459 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1473276 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 444 Butterfly Gardens Dr., Columbus, OH 432052664 | 6149380167 | 6149380170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427617521 | Shannon Pierce Donnelly | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-06-12 |
| Street Address |
380 BUTTERFLY GARDENS DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538175401 | Patricia Ann Miller | Nurse Practitioner | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2006-07-31 |
| 1750989802 | Illyssa Ann Smith | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2020-10-12 |
| 1174164362 | Sydney Brown | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2019-09-30 |
| 1588214647 | Victoria Davidson | Social Worker | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2019-09-19 |
| 1497313753 | Krista Sheridan | Nurse Practitioner | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2019-06-03 |
| 1659834869 | Kelsey Schmuhl | Pharmacist | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2019-04-14 |
| 1831653823 | Katherine Myers | Nurse Practitioner | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2019-01-24 |
| 1588137012 | Kathryn Doom | Counselor | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2019-01-08 |
| 1568946341 | Mckenzie Jean Thomas | Counselor | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2018-09-18 |
| 1447738679 | Maria Acevedo | Counselor | 380 Butterfly Gardens Dr, Columbus, OH 43215-7508 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| 1750994125 | Soumi Dey | Nurse Practitioner | 2085 Citygate Dr, Columbus, OH 43219-3656 | 2020-08-26 |
| 1063024065 | Tanna Lynn Lok | Nurse Practitioner | 4545 Fisher Rd, Columbus, OH 43228-8923 | 2020-08-20 |
| 1548878937 | Tracy King | Nurse Practitioner | 2561 Bryden Rd, Columbus, OH 43209-2135 | 2020-07-21 |
| 1598386641 | Brina Nakia Smith | Nurse Practitioner | 3 Kingsridge Ct, Columbus, GA 31907-3730 | 2020-04-29 |
| 1770111361 | Donna Betty Mitchell | Nurse Practitioner | 48 Northstar Dr, Columbus, GA 31907-6348 | 2020-03-30 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1164073227 | Victoria Hargrove | Nurse Practitioner | 2473 Highway 69 S, Columbus, MS 39702-9248 | 2019-09-20 |
| 1700431657 | Ohio Tms Clinic LLC | Nurse Practitioner | 3099 Sullivant Ave, Columbus, OH 43204-1895 | 2019-08-07 |
| 1780238204 | Gail Lorine Jones | Nurse Practitioner | 820 Brookstone Centre Pkwy # Ga31904, Columbus, GA 31904-9246 | 2019-08-01 |
| Find all providers in COLUMBUS | ||||
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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.