SHAWNA TRUDEAU (NPI# 1679065312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679065312 |
| Entity Type | Individual |
| Full Name | SHAWNA TRUDEAU |
| Credential | RN |
| Practice Address |
1 Leo Moss Dr Olean NY 14760-1100 |
| Practice Telephone | 7167013422 |
| Practice Fax Number | 7167013722 |
| Mailing Telephone | 7167013422 |
| Mailing Fax Number | 7167013722 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
718558 | NY | Nursing Service Providers |
| Street Address |
1 LEO MOSS DR |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598711988 | County of Cattaraugus | Clinical Medical Laboratory | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1100 | 2006-05-26 |
| 1194262816 | Jenna Nicole Golden | Social Worker | 1 Leo Moss Dr, Olean, NY 14760-1100 | 2017-01-20 |
| 1225573884 | Matthew Green | Counselor | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1156 | 2017-01-05 |
| 1467811489 | Amber Carlson | Counselor | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1156 | 2016-02-18 |
| 1760840706 | Stephanie Poole | Counselor | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1156 | 2016-02-05 |
| 1023481611 | Jacob Vecchio | Counselor | 1 Leo Moss Dr, Olean, NY 14760-1156 | 2015-11-05 |
| 1629445895 | Whitney Riley | Counselor | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1156 | 2015-08-24 |
| 1225419237 | Eric Peters | Social Worker | 1 Leo Moss Dr, Olean, NY 14760-1156 | 2015-06-16 |
| 1558753251 | Michal Baxter | Social Worker | 1 Leo Moss Dr, Olean, NY 14760-1156 | 2015-03-04 |
| 1326436775 | Alyssa Mccutcheon | Case Manager/Care Coordinator | 1 Leo Moss Dr, Olean, NY 14760-1100 | 2015-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
| Find all providers in zip 14760 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265716419 | Cristin Boyles | Registered Nurse | 1 Leo Moss Dr, Cattaraugus County Health Department, Olean, NY 14760-1100 | 2011-10-06 |
| 1588982177 | Clare Marie Barr | Registered Nurse | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1154 | 2010-05-07 |
| 1508014473 | Laurie Jean Poole | Registered Nurse | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1100 | 2008-09-04 |
| 1467600239 | Susan Peterson Lorenz | Registered Nurse | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1100 | 2008-09-04 |
| 1730335019 | Janet Elaine Cottillion | Registered Nurse | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1100 | 2008-08-18 |
| 1437305711 | Mary Anne Power | Registered Nurse | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1100 | 2008-08-18 |
| 1326243726 | Laurie Anne Mcclory | Registered Nurse | 1 Leo Moss Dr, Suite 4010, Olean, NY 14760-1100 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665082 | Lisa M Grolling | Registered Nurse | 91 Butcher Rd, Hilton, NY 14468-9706 | 2020-09-28 |
| 1811514565 | Marie Andree Dorce | Registered Nurse | 7214 Bergen Cv, Brooklyn, NY 11234-7100 | 2020-06-29 |
| 1497384648 | Monica Mena | Registered Nurse | 88 Jean Ave, Hempstead, NY 11550-6325 | 2020-04-08 |
| 1609410406 | Marva Pow | Registered Nurse | 3644 Harper Ave, Bronx, NY 10466-5907 | 2019-11-05 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1356800601 | Karene Ortensa Blake | Registered Nurse | 1584 Kenneth Ave, North Baldwin, NY 11510-1659 | 2019-03-17 |
| 1275099491 | Eunhee Kim | Registered Nurse | 105 Echo Ave, Miller Place, NY 11764-2205 | 2019-02-12 |
| 1487122180 | Penny Ann Bloom | Registered Nurse | 188 Clearwater Cir, Rochester, NY 14612-3081 | 2018-11-12 |
| 1952884900 | Annette Novena | Registered Nurse | 1007 E 57th St, Brooklyn, NY 11234-2507 | 2018-09-14 |
| 1316428022 | Quiera Decosta | Registered Nurse | 632 Wilson Ave, Brooklyn, NY 11207-1577 | 2018-08-22 |
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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.