MS. HEATHER ANN SHATTUCK (NPI# 1700292232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700292232 |
| Entity Type | Individual |
| Full Name | MS. HEATHER ANN SHATTUCK |
| Credential | ACNP-BC |
| Practice Address |
Psc 836 Box 2670 Fpo AE 09636-9998 |
| Mailing Address |
Psc 836 Box 105 Fpo AE 09636-0002 |
| Practice Telephone | 3487197007 |
| Mailing Telephone | 3487197007 |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024171790 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467557116 | Heather Mary Shattuck | Physical Therapist | Gaffney Drive, Watertown, NY 13601 | 2006-09-14 |
| Street Address |
PSC 836 BOX 2670 |
| City | FPO |
| State | AE |
| Zip Code | 09636-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891754859 | John William Weber | Military Health Care Provider | Psc 836 Box 2670, Fpo, AE 09636 | 2006-03-20 |
| 1386019800 | Terri Collins | Nurse Practitioner | Psc 836 Box 2670, Fpo, AE 09636-9998 | 2015-12-09 |
| 1033454699 | Jeffrey Christian Ellis | Physician Assistant | Psc 836 Box 2670, Fpo, AE 09636-9998 | 2012-12-07 |
| 1013276609 | Kyle Harvey | Family Medicine | Psc 836 Box 2670, Naval Hospital Sigonella, Fpo, AE 09636-9998 | 2012-05-16 |
| 1598033508 | Amy Leber | Physician Assistant | Psc 836 Box 2670, Fpo, AE 09636-2600 | 2011-12-05 |
| 1962431973 | Joel Brian Steward | Military Health Care Provider | Psc 836 Box 2670, Fpo, AE 09636 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703355 | Naval Hospital Sigonella | Military/U.S. Coast Guard Pharmacy | Bldg 410, Catania Sicily, Fpo, AE 09636 | 2006-11-06 |
| 1477524494 | Angela Ruth Bailey | Nutritionist | Psc 836 Box 323, Fpo, AE 09636 | 2006-01-28 |
| 1487625570 | Todd B Shaw | Physical Therapist | Psc 836 Box 361, Fpo, AE 09636 | 2006-01-28 |
| 1659342749 | Debra M. Vazquez | Dentist | Psc 836 Box 0283, Fpo, AE 09636 | 2006-01-28 |
| 1780655050 | Matthew Carl Byars | Dentist | Psc 836, Box #402, Fpo, AE 09636 | 2006-01-27 |
| 1073583597 | Meenakshi Arvind Nandedkar | Pathology | Psc 836 Box 421, Fpo, AE 09636 | 2006-01-26 |
| 1750351276 | Charles Anthony Frosolone | Surgery | Us Naval Hospital Sigonella, Psc 836 Box 2670, Fpo, AE 09636 | 2006-01-26 |
| 1427028943 | Patrick Edward Mcgroarty | Dentist | Naval Hospital Sigonella, Italy, Psc 836, Fpo, AE 09636 | 2006-01-26 |
| 1881664563 | Wanda Rae Webb | Social Worker | U.S. Naval Hospital, Sigonella, Psc 836 Box 2670, Fpo, AE 09636 | 2006-01-25 |
| 1649240714 | Robert Mark Schlegel | Psychologist | Psc 836 Box 311, Fpo, AE 09636 | 2006-01-23 |
| Find all providers in zip 09636 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730442450 | Anne Hollis | Nurse Practitioner | Psc 482 Box 136, Fpo, AP 96362-0199 | 2012-06-18 |
| 1629506738 | Jessica Nicole Hafford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-06-02 |
| 1225389075 | Garry Poblete Closas | Nurse Practitioner | Uss Carl Vinson, Medical Department, Fpo, AP 96629-2840 | 2012-09-19 |
| 1033482617 | Evelyn Jean Tyler | Nurse Practitioner | Psc 482, Box 254, Fpo, AP 96362-9998 | 2012-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710238548 | Charles S. Kuhens | Nurse Practitioner | Cmr 402 (landstuhl Regional Medical Center), Box 1340, Apo, AE 09180-0000 | 2012-09-19 |
| 1194076927 | Jennifer Lea Jamison-gines | Nurse Practitioner | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2012-09-19 |
| 1033416185 | Kendra L. Spaulding | Nurse Practitioner | Cmr 402, Apo, AE 09180-0402 | 2011-02-24 |
Please comment or provide details below to improve the information on MS. HEATHER ANN SHATTUCK.
| 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.